Organization Active NPI

B. David Massaband DPM Inc

  • Foot & Ankle Surgery Podiatrist
  • Encino, CA
National Provider Identifier
1093869943
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E3989 Issued in CA
Legal business name
B. DAVID MASSABAND DPM INC
Practice address
16661 Ventura Blvd
Suite 705
Encino, CA 91436-1914
Phone
(310) 657-2828
Fax
(310) 657-9733
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

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

Authorized official

Name
Behnam David Massaband, D.P.M.
Title
Ceo
Phone
(310) 657-2828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E3989 CA Primary

Addresses

Primary practice location

16661 Ventura Blvd
Suite 705
Encino, CA 91436-1914

Mailing address

8631 W 3Rd St
Suite 940-E
Los Angeles, CA 90048-5901
Phone (310) 657-2828

Other identifiers 1

IdentifierTypeStateIssuer
000E39891MedicaidCA

Other names 1

  • TOWER PODIATRY-THE FOOT AND ANKLE SURGICAL INSTITUTE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1093869943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8631 W 3RD ST",
            "address_2": "SUITE 940-E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485901",
            "telephone_number": "310-657-2828",
            "fax_number": "310-657-9733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD",
            "address_2": "SUITE 705",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361914",
            "telephone_number": "310-657-2828",
            "fax_number": "310-657-9733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B. DAVID MASSABAND DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "MASSABAND",
        "authorized_official_first_name": "BEHNAM",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-657-2828",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E3989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E39891",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TOWER PODIATRY-THE FOOT AND ANKLE SURGICAL INSTITUTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.