Active NPI
Ala Mansour Masri, M.D.
- Internal Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MT-204620
- Practice address
- 3901 Conshohocken Ave Apt 5125
Philadelphia, PA 19131-5421 - Phone
- (909) 278-4593
- NPI assigned
- May 31, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MT-204620 | PA | Primary |
Addresses
Primary practice location
3901 Conshohocken Ave Apt 5125
Philadelphia, PA 19131-5421
Mailing address
3901 Conshohocken Ave Apt 5125
Philadelphia, PA 19131-5421
Phone (909) 278-4593
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Pennsylvania State University College of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2101 N Waterman Ave
San Bernardino, CA 92404-4836
Phone (909) 883-8711
300 W Hungtington Dr
Arcadia, CA 91007-3402
Phone (626) 898-8000
Hospital & facility affiliations
- St Bernardine Medical Center
- Usc Arcadia Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT-204620 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of State Hospitals | Current | Accepting new patients | |
| Arcadia Hospitalist Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
| Inpatient Specialists of California, PC | Internal Medicine | Current | Accepting new patients |
| Department of State Hospitals | Current | Accepting new patients | |
| Department of State Hospitals | Current | Accepting new patients |
Locations
300 W Huntington Dr
Arcadia, CA 91007
Phone (626) 445-4441
3102 E Highland Ave
Patton, CA 92369
Phone (909) 425-7000
1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805
1805 Medical Center Dr
Sn Bernrdno, CA 92411
Phone (909) 877-6333
2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305
1800 N California St
Stockton, CA 95204
Phone (209) 467-6400
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Arcadia, CA
- NPI 1114365269
-
- Internal Medicine Physician
- San Bernardino, CA
- NPI 1952792475
-
- Psychiatric Hospital
- Coalinga, CA
- NPI 1124078704
-
- Psychiatric Hospital
- Patton, CA
- NPI 1043249204
-
- Psychiatric Hospital
- Atascadero, CA
- NPI 1174573802
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Bernardino, CA
- NPI 1689769911
-
- General Acute Care Hospital
- Arcadia, CA
- NPI 1508851288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369958400000",
"number": "1174960066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 CONSHOHOCKEN AVE APT 5125",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191315421",
"telephone_number": "909-278-4593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 CONSHOHOCKEN AVE APT 5125",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191315421",
"telephone_number": "909-278-4593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASRI",
"first_name": "ALA",
"middle_name": "MANSOUR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-31",
"last_updated": "2013-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MT-204620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; 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.