Norma Hagop Kassardjian, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

G65294 Issued in CA

Practice address

30280 Rancho Viejo Road
San Juan Capistrano, CA 92675

Phone

(949) 248-1632

Fax

(949) 248-7321

NPI assigned

Oct 2, 2006

Last updated

Jul 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Miss Norma Hagop Fakjian Former name

Electronic endpoints 1

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

Specialty

Dermatology

Education

Northwestern University Feinberg Medical School, 1987

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)

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Jeffrey a Klein MD Inc

  • Dermatology Physician
  • San Juan Capistrano, CA
  • NPI 1639262413
  Medicare reassignment Care Compare group
• Hoag Memorial Hospital Presbyterian

  • General Acute Care Hospital
  • Newport Beach, CA
  • NPI 1518951300
  NPD (past)
• Mission Hospital Regional Medical Center

  dba Providence Mission Hospital

  • Rehabilitation Hospital
  • Mission Viejo, CA
  • NPI 1003956913
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1982797775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30280 RANCHO VIEJO 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 ROAD",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "92675",
            "telephone_number": "949-248-1632",
            "fax_number": "949-248-7321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSARDJIAN",
        "first_name": "NORMA",
        "middle_name": "HAGOP",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G65294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G652940",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE WPS",
            "identifier": "92675C004",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "diane@kleinmd.com",
            "affiliation": "N",
            "endpointDescription": "billing manager",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "email",
            "address_1": "30280 Rancho Viejo Road",
            "city": "San Juan Capistrano",
            "state": "CA",
            "country_code": "US",
            "postal_code": "92675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NORMA",
            "last_name": "FAKJIAN",
            "middle_name": "HAGOP",
            "prefix": "MISS",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Allan Kane Jr., MD
• Michelle Kane, LMFT
• Tracey Adele Kane, LMFT
• Linda Kang
• George Karapetian, MD
• Katalin Janosi-Fair, DMD, Inc (Harvard Dental Group)
• Karen Katzmark, MT
• Erin Kaupp
• Kelly McKinnon & Associates, Inc.
• Kasey Susan Franks Kessler, PPS

• Dermatology Physician in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.