Individual provider Active NPI

Masad Isa Arbid, M.D.

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1043366305
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A35390 Issued in CA
Practice address
4055 Whittier Blvd
Los Angeles, CA 90023-2536
Phone
(323) 780-4000
Fax
(323) 780-9893
NPI assigned
Jan 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A35390 CA Primary

Addresses

Primary practice location

4055 Whittier Blvd
Los Angeles, CA 90023-2536

Mailing address

4055 Whittier Blvd
Los Angeles, CA 90023-2536
Phone (323) 780-4000

Other identifiers 2

IdentifierTypeStateIssuer
A35390OtherCAPROVIDER LICENSE NUMBER
00A353900MedicaidCA

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
I20090502000047 CA Practitioner - General Practice 3577610534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4055 Whittier Blvd
Los Angeles, CA 90023-2536
Phone (323) 780-4000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A35390CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Mateo Medical Clinic, Inc General Practice CurrentSince Jan 1, 1992 Accepting new patients
Santa Rosa Family Medical Clinic PastSince Jan 1, 1992 Accepting new patients

Locations

4055 Whittier Blvd
Los Angeles, CA 90023
Phone (323) 261-4641

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236556800000",
    "number": "1043366305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900232536",
            "telephone_number": "323-780-4000",
            "fax_number": "323-780-9893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900232536",
            "telephone_number": "323-780-4000",
            "fax_number": "323-780-9893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARBID",
        "first_name": "MASAD",
        "middle_name": "ISA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2009-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A35390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER LICENSE NUMBER",
            "identifier": "A35390",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A353900",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.