NPIMap

Organization Active NPI

Massen Medical Office

  • Family Medicine Physician
  • Hayward, CA
National Provider Identifier
1073549283
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A527260 Issued in CA
Legal business name
MASSEN MEDICAL OFFICE
Practice address
19682 Hesperian Blvd
1393 Santa Rita Rd., #a
Hayward, CA 94541-4752
Phone
(510) 783-0536
Fax
(510) 315-1103
NPI assigned
Jun 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Arkady Massen, M.D.
Title
Medical Doctor
Phone
(510) 783-0536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A527260 CA Primary

Addresses

Primary practice location

19682 Hesperian Blvd
1393 Santa Rita Rd., #a
Hayward, CA 94541-4752

Mailing address

19682 Hesperian Blvd
1393 Santa Rita Rd., #a
Hayward, CA 94541-4752
Phone (510) 783-0536

National Provider Directory

National Provider Directory

Locations

19682 Hesperian Blvd
Hayward Acres, CA 94541
Phone (510) 253-2350

19682 Hesperian Blvd
#1393
Hayward Acres, CA 94541
Phone (510) 783-0536

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073549283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19682 HESPERIAN BLVD",
            "address_2": "1393 SANTA RITA RD., #A",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945414752",
            "telephone_number": "510-783-0536",
            "fax_number": "510-315-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19682 HESPERIAN BLVD",
            "address_2": "1393 SANTA RITA RD., #A",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945414752",
            "telephone_number": "510-783-0536",
            "fax_number": "510-315-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSEN MEDICAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASSEN",
        "authorized_official_first_name": "ARKADY",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "510-783-0536",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A527260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.