Individual provider Active NPI

Jeri S Masuda, RN

  • Registered Nurse
  • Napa, CA
National Provider Identifier
1003957473
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
284990 Issued in CA
Practice address
2344 Old Sonoma Rd
BLDG G
Napa, CA 94559-3708
Phone
(707) 253-6033
Fax
(707) 253-4880
NPI assigned
Feb 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 284990 CA Primary

Addresses

Primary practice location

2344 Old Sonoma Rd
BLDG G
Napa, CA 94559-3708

Mailing address

PO Box 5088
Napa, CA 94581-0088
Phone (707) 253-6033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
284990CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003957473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5088",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945810088",
            "telephone_number": "707-253-6033",
            "fax_number": "707-253-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2344 OLD SONOMA RD",
            "address_2": "BLDG G",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945593708",
            "telephone_number": "707-253-6033",
            "fax_number": "707-253-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASUDA",
        "first_name": "JERI",
        "middle_name": "S",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "284990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.