Individual provider Active NPI

Bobbie Snow Masenda, APRN FNP-BC

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1013578491
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95025764 Issued in CA
Practice address
5901 W Century Blvd Ste 750
Los Angeles, CA 90045-5443
Phone
(877) 356-2503
NPI assigned
Jun 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP142008 TX
Family Nurse Practitioner 363LF0000X NP95025764 CA Primary

Addresses

Primary practice location

5901 W Century Blvd Ste 750
Los Angeles, CA 90045-5443

Mailing address

PO Box 398664
Dallas, TX 75339-8664
Phone (469) 732-9781

Other practice location 1

9898 Bissonnet St Ste 258
Houston, TX 77036-8025
Phone (713) 771-2292

Other practice location 2

6161 N SH 161 Service Rd
Unit 200
Irving, TX 75063
Phone (972) 285-7499

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231027003072 CA Practitioner - Nurse Practitioner 1759712409

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5901 W Century Blvd
Suite 750
Los Angeles, CA 90045-5443

PO Box
Suite 398664
Dallas, TX 75339-8664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP142008TXMDNurse Practitioner
NP95025764CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kamisa & Associates Family Clinic and Urgent Care, PLLC Family Current Accepting new patients
Global Wound Care Medical Group CurrentSince Oct 9, 2023 Accepting new patients

Locations

5901 W Century Blvd
Ste 750
Los Angeles, CA 90045
Phone (323) 843-2861

180 Promenade Cir
Ste 300
Sacramento, CA 95834
Phone (916) 352-6232

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1013578491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 398664",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753398664",
            "telephone_number": "469-732-9781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 W CENTURY BLVD STE 750",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455443",
            "telephone_number": "877-356-2503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9898 Bissonnet St Ste 258",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770368025",
            "country_code": "US",
            "telephone_number": "713-771-2292",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6161 N SH 161 Service Rd",
            "address_2": "Unit 200",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "75063",
            "country_code": "US",
            "telephone_number": "972-285-7499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASENDA",
        "first_name": "BOBBIE",
        "middle_name": "SNOW",
        "credential": "APRN FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-26",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP142008",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95025764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.