Individual provider Active NPI

Mason Devon, P.A.

  • Physician Assistant
  • Santa Monica, CA
National Provider Identifier
1235492299
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
22620 Issued in CA
Practice address
2001 Santa Monica Blvd Ste 680W
Santa Monica, CA 90404-2111
Phone
(310) 829-8928
NPI assigned
Jun 24, 2012
Last updated
Jan 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 22620 CA Primary
Medical Physician Assistant 363AM0700X NU

Addresses

Primary practice location

2001 Santa Monica Blvd Ste 680W
Santa Monica, CA 90404-2111

Mailing address

4242 Rosario Rd
Woodland Hills, CA 91364-6027
Phone (310) 850-5878

Other practice location 1

501 S Buena Vista St Dept 1N
Burbank, CA 91505-4809
Phone (310) 847-6049

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mdevon435818@oc.providencedirect.org
Direct Messaging Address mdevon435818@oc.providencedirect.org

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130227000328 CA Practitioner - Physician Assistant 7113172966 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2121 Santa Monica Blvd
Santa Monica, CA 90404-2303
Phone (310) 829-5511

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
96.07
Promoting interoperability
100
Improvement activities
40
Cost
71.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Medical Care Foundation CurrentSince Jan 26, 2019 Accepting new patients
Link Neuroscience Institute PC CurrentSince Feb 1, 2026 Accepting new patients
Providence Saint Johns Medical Foundation CurrentSince Jul 17, 2018 Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients
Providence Facey Medical Foundation Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

501 S Buena Vista St
Burbank, CA 91505
Phone (818) 783-0800

501 S Buena Vista St
#1N
Burbank, CA 91505
Phone (818) 238-0001

12414 Exposition Blvd
Los Angeles, CA 90064
Phone (310) 272-7640

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

18350 Roscoe Blvd
Ste 706
Northridge, CA 91325
Phone (805) 983-0425

1901 Outlet Center Dr
Ste 210
Oxnard, CA 93036
Phone (805) 485-3800

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

2323 De la Vina St
Ste 205
Santa Barbara, CA 93105
Phone (805) 983-0425

2001 Santa Monica Blvd
Ste 680W
Santa Monica, CA 90404
Phone (310) 442-2113

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

2336 Santa Monica Blvd
Ste 204
Santa Monica, CA 90404
Phone (310) 453-4477

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mason.devon.p1@direct.lakeside.nextgenshare.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1340496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1235492299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4242 ROSARIO RD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913646027",
            "telephone_number": "310-850-5878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD STE 680W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042111",
            "telephone_number": "310-829-8928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 S Buena Vista St Dept 1N",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915054809",
            "country_code": "US",
            "telephone_number": "310-847-6049",
            "fax_number": "818-847-4842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVON",
        "first_name": "MASON",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-24",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "22620",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdevon435818@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "501 S Buena Vista St Dept 1N",
            "city": "Burbank",
            "state": "CA",
            "country_code": "US",
            "postal_code": "915054809",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdevon435818@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "15031 Rinaldi St",
            "city": "Mission Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913451207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.