Organization Active NPI

Hossein Masoomi, MD, a Medical Corporation

  • Plastic Surgery Physician
  • La Jolla, CA
National Provider Identifier
1275129603
Registry record updated Dec 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
HOSSEIN MASOOMI, MD, A MEDICAL CORPORATION
Practice address
4150 Regents Park Row Ste 300
La Jolla, CA 92037-1417
Phone
(858) 909-9000
Fax
(858) 909-9009
NPI assigned
Dec 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2020

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

Authorized official

Name
Hossein Masoomi, M.D.
Title
Owner / Ceo
Phone
(949) 257-3143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

4150 Regents Park Row Ste 300
La Jolla, CA 92037-1417

Mailing address

4150 Regents Park Row Ste 300
La Jolla, CA 92037-1417
Phone (858) 909-9000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1608422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608422400000",
    "number": "1275129603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 REGENTS PARK ROW STE 300",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371417",
            "telephone_number": "858-909-9000",
            "fax_number": "858-909-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 REGENTS PARK ROW STE 300",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371417",
            "telephone_number": "858-909-9000",
            "fax_number": "858-909-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSSEIN MASOOMI, MD, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-20",
        "last_updated": "2020-12-20",
        "certification_date": "2020-12-16",
        "status": "A",
        "authorized_official_last_name": "MASOOMI",
        "authorized_official_first_name": "HOSSEIN",
        "authorized_official_title_or_position": "OWNER / CEO",
        "authorized_official_telephone_number": "949-257-3143",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.