Individual provider Active NPI

Michael G Klassen, MD

  • Orthopaedic Surgery Physician
  • Monterey, CA
National Provider Identifier
1932234952
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G69478 Issued in CA
Practice address
10 Harris CT BLDG a
Suite A1
Monterey, CA 93940-5704
Phone
(831) 643-9788
Fax
(831) 657-0161
NPI assigned
Feb 22, 2007
Last updated
Jan 30, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G69478 CA Primary

Addresses

Primary practice location

10 Harris CT BLDG a
Suite A1
Monterey, CA 93940-5704

Mailing address

PO Box 2019
Monterey, CA 93942-2019
Phone (831) 643-9788

Other identifiers 1

IdentifierTypeStateIssuer
G69478OtherCABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090220000233 CA Practitioner - Orthopedic Surgery 4486668548 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G69478CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
OB GYN Associates of the Central Coast CurrentSince Mar 27, 2019 Accepting new patients
Athena Medical Group of the Central Coast, Inc. CurrentSince Jul 14, 2020 Accepting new patients

Locations

10 Harris Ct
Ste A1
Monterey, CA 93940
Phone (831) 643-9788

10 Harris Ct
Ste A2
Monterey, CA 93940
Phone (831) 333-9885

335 Katherine Ave
Ste 1
Salinas, CA 93901
Phone (831) 751-6222

Interoperability endpoints

  • Direct secure messaging: michael.klassen.1@5713.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201651200000",
    "number": "1932234952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2019",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939422019",
            "telephone_number": "831-643-9788",
            "fax_number": "831-657-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HARRIS CT BLDG A",
            "address_2": "SUITE A1",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405704",
            "telephone_number": "831-643-9788",
            "fax_number": "831-657-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLASSEN",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2008-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G69478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "G69478",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.