Organization Active NPI

Karl Gebhard MD a Professional Corporation

  • Family Medicine Physician
  • Mission Viejo, CA
National Provider Identifier
1881066926
Registry record updated Jun 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G080567 Issued in CA
Legal business name
KARL GEBHARD MD A PROFESSIONAL CORPORATION
Practice address
26922 Oso Pkwy
Ste 380
Mission Viejo, CA 92691-5800
Phone
(949) 305-0110
Fax
(949) 305-0101
NPI assigned
Oct 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Karl Gebhard, MDNPI 1548266018
Title
Owner
Phone
(949) 302-9771

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X G080567 CA Primary

Addresses

Primary practice location

26922 Oso Pkwy
Ste 380
Mission Viejo, CA 92691-5800

Mailing address

26922 Oso Parkway
Suite 380
Mission Viejo, CA 92691
Phone (949) 305-0110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171116003282 CA Part B Supplier - Clinic/Group Practice 2365708781 Receives reassigned benefits from 2 practitioners
Practice locations: Mission Viejo, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2113171Karl Gebhard MD, a Professional Corporation26922 Oso Pkwy Ste 380, Mission Viejo, CA 92691Certificate of waiverMay 16, 2028

National Provider Directory

National Provider Directory

Locations

26922 Oso Pkwy
Mission Viejo, CA 92691
Phone (949) 305-0110

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497312000000",
    "number": "1881066926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26922 OSO PARKWAY",
            "address_2": "SUITE 380",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "92691",
            "telephone_number": "949-305-0110",
            "fax_number": "949-305-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26922 OSO PKWY",
            "address_2": "STE 380",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915800",
            "telephone_number": "949-305-0110",
            "fax_number": "949-305-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARL GEBHARD MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2017-06-13",
        "status": "A",
        "authorized_official_last_name": "GEBHARD",
        "authorized_official_first_name": "KARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-302-9771",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G080567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.