Individual provider Active NPI

Jeffrey Alan Klein, MD

  • Dermatology Physician
  • San Juan Capistrano, CA
National Provider Identifier
1972699304
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G37375 Issued in CA
Practice address
30280 Rancho Viejo Rd
San Juan Capistrano, CA 92675-1561
Phone
(949) 248-7641
Fax
(949) 248-7321
NPI assigned
Oct 5, 2006
Last updated
Sep 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X G37375 CA Primary

Addresses

Primary practice location

30280 Rancho Viejo Rd
San Juan Capistrano, CA 92675-1561

Mailing address

30280 Rancho Viejoo Road
San Juan Capistrano, CA 92675
Phone (949) 248-1632

Other practice location 1

101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-8888

Other identifiers 2

IdentifierTypeStateIssuer
0070004805OtherCARAILROAD MEDICARE
00G373750OtherCABLUE SHIELD OF CALIFORNIA

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
I20111212000766 CA Practitioner - Dermatology 4688652290 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of California, San Francisco School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffrey a Klein MD IncGroup PAC ID 2860470465, 4 clinicians

Practice addresses (Care Compare)

30280 Rancho Viejo Rd
San Juan Capistrano, CA 92675-1561
Phone (949) 248-1632

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
71.57 of 100Reported as group
Quality
88.51
Improvement activities
40
Cost
20.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision18
Removal of tissue1-10
Removal of skin lesions1356
Removal of skin cancer65
Removal of nail tissue1-10
Removal or shaving of skin growth112
Skin biopsy598

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G37375CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uci Department of Dermatology Dermatology CurrentSince Nov 1, 2024 Accepting new patients
Jeffrey a Klein MD Inc Dermatology CurrentSince Oct 1, 1993 Accepting new patients
University of California Irvine Past Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients
University of California Irvine Past Accepting new patients

Locations

850 Health Sciences Rd
Fl 2
Irvine, CA 92617
Phone (602) 614-8874

200 S Manchester Ave
Ste 650
Orange, CA 92868
Phone (714) 456-3077

101 The City Dr S
Bldg 29
Orange, CA 92868
Phone (714) 456-7005

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

30280 Rancho Viejo Rd
San Juan Capo, CA 92675
Phone (949) 248-1632

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1972699304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30280 RANCHO VIEJOO ROAD",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "92675",
            "telephone_number": "949-248-1632",
            "fax_number": "949-248-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30280 RANCHO VIEJO RD",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751561",
            "telephone_number": "949-248-7641",
            "fax_number": "949-248-7321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 The City Dr S",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928683201",
            "country_code": "US",
            "telephone_number": "714-456-8888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "JEFFREY",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G37375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "0070004805",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "00G373750",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

Verify at the official NPI Registry.