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JEFFREY A KLEIN MD, INC
NPI 1639262413
Dermatology in San Juan Capistrano, CA

Active since October 02, 2006CLIA 05D0708670 · Certificate of Compliance
30280 RANCHO VIEJO RD, SAN JUAN CAPISTRANO, CA 92675(949) 248-1632(949) 248-7321 Get Directions Write a Review

NPPES record last updated: July 14, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 14, 2023, Dec 8, 2022, Oct 25, 2022 (3 updates tracked since 2022).

About Jeffrey A Klein Md, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY A KLEIN MD, INC (NPI 1639262413) is a healthcare organization registered as a dermatology in San Juan Capistrano, California and active in the NPI registry since October 2006. The organization holds a CLIA Certificate of Compliance certificate valid through May 17, 2027 and lists Jeffrey Alan Klein, President Owner, as its authorized official.

NPPES Registry Identity

NPI1639262413
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameJEFFREY A KLEIN MD INC
Location Address30280 RANCHO VIEJO RDSan Juan Capistrano, CA 92675
Mailing Address30280 Rancho Viejo RdSan Juan Capistrano, CA 92675 · (949) 248-1632 · Fax (949) 248-7321
Phone(949) 248-1632
Fax(949) 248-7321
Organization SubpartNo
Authorized OfficialJeffrey Alan KleinPresident Owner · (949) 248-1632
Enumeration DateOctober 2, 2006
Last NPPES UpdateJuly 14, 20233 updates tracked since enumeration
NPPES CertifiedJuly 14, 2023
✔ NPI 1639262413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
30280 RANCHO VIEJO RD, San Juan Capistrano, CA 92675
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Other Names 1

Doing Business AsJeffrey A Klein Md, Inc

Other Identifiers 1

OtherZZZ55999ZBlue Shield Of California

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey A Klein Md, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Jeffrey A Klein MD, Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Norma Kassardjian, MD
Dermatology
NPI 1982797775
30280 RANCHO VIEJO ROAD
San Juan Capistrano, CA 92675
(949) 248-1632
✔ PECOS✔ Accepts MedicareSame address
Jeffrey Klein, MD
Dermatology
NPI 1972699304
30280 RANCHO VIEJO RD
San Juan Capistrano, CA 92675
(949) 248-7641
✔ PECOS✔ Accepts MedicareSame address
Joshua Spanogle, M.D.
Dermatology
NPI 1750564407
2290 SACRAMENTO ST
Vallejo, CA 94590
(707) 643-5785
✔ PECOS✔ Accepts Medicare409 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D0708670

Jeffrey A Klein MD · San Juan Capistrano, CA
Active · expires May 17, 2027
CLIA Number05D0708670
Laboratory TypePhysician Office
Certificate Effective DateMay 18, 2025
Certificate Expiration DateMay 17, 2027
Laboratory DirectorJeffrey A. Klein MD
Laboratory Phone(949) 248-1632
Laboratory LocationJeffrey A Klein MD30280 Rancho Viejo Rd, San Juan Capistrano, CA 92675
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey A Klein MD Inc's NPI number?

The NPI number for Jeffrey A Klein MD Inc is 1639262413. It was assigned to this organization in the NPPES registry on October 2, 2006. The provider is doing business as Jeffrey A Klein MD, Inc.

Where is Jeffrey A Klein MD Inc located?

Jeffrey A Klein MD Inc is located at 30280 Rancho Viejo Rd, San Juan Capistrano, CA 92675. The listed phone number is (949) 248-1632.

What is Jeffrey A Klein MD Inc's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Jeffrey A Klein MD Inc enrolled in Medicare?

Yes. Jeffrey A Klein MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jeffrey A Klein MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Dermatology, reassign their Medicare billing to Jeffrey A Klein MD Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Jeffrey A Klein MD Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D0708670) is associated with this NPI, valid through May 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jeffrey A Klein MD Inc was last updated on July 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.