Active NPI
Nicole Angela Masnada, D.O.
- Psychiatry Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 007718
- Practice address
- 2051 Marengo St
Los Angeles, CA 90033-1352 - Phone
- (323) 409-1000
- NPI assigned
- Apr 27, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 007718 | AZ | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 20A19981 | CA |
Addresses
Primary practice location
2051 Marengo St
Los Angeles, CA 90033-1352
Mailing address
PO Box 55095
Santa Clarita, CA 91385-0095
Phone (323) 409-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Arizona College of Osteopathic Medicine Mid Western University, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
PO Box
New York, NY 10087
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.59 of 100
- Quality
- 81.55
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.5
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007718 | AZ | MD | Psychiatry Physician |
| 20A19981 | CA | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Aurora Behavioral Healthcare - Tempe, LLC | Psychiatry | Current | Accepting new patients |
| District Medical Group, Inc | Psychiatry | Current | Accepting new patients |
| Maricopa County Special Health Care District | Past | Accepting new patients | |
| District Medical Group, Inc | Psychiatry | Past | Accepting new patients |
Locations
570 W Brown Rd
Mesa, AZ 85201
Phone (480) 344-2000
3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520
2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043
2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298
6350 S Maple Ave
Tempe, AZ 85283
Phone (480) 345-5400
Interoperability endpoints
- nmasnada173633@direct.valleywisehealth.org
Organizations & group practices 6
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.
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- NPI 1336472448
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- NPI 1144624339
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1073576740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767571200000",
"number": "1043697261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 55095",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913850095",
"telephone_number": "323-409-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2051 MARENGO ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900331352",
"telephone_number": "323-409-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASNADA",
"first_name": "NICOLE",
"middle_name": "ANGELA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-27",
"last_updated": "2026-01-05",
"certification_date": "2026-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AZ",
"license": "007718",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "20A19981",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; 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.