Individual provider Active NPI

Wasima Masoodi, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Torrance, CA
National Provider Identifier
1275563017
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
A70496 Issued in CA
Practice address
23639 Hawthorne Blvd
Suite 102
Torrance, CA 90505-5930
Phone
(310) 373-9980
Fax
(310) 373-5556
NPI assigned
Jul 4, 2006
Last updated
Aug 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X A70496 CA Primary

Addresses

Primary practice location

23639 Hawthorne Blvd
Suite 102
Torrance, CA 90505-5930

Mailing address

23639 Hawthorne Blvd
Suite 102
Torrance, CA 90505-5930
Phone (310) 373-9980

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031222000908 CA Practitioner - Endocrinology 3678487915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

24805 Narbonne Ave
Lomita, CA 90717-1525
Phone (310) 375-7666

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
70496CAMDClinical Social Worker
A70496CAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wasima Masoodi MD Endocrinology, Diabetes & Metabolism CurrentSince Mar 1, 2003 Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients
Endocrine Care Specialists, Inc Endocrinology, Diabetes & Metabolism Past Accepting new patients

Locations

24805 Narbonne Ave
Lomita, CA 90717
Phone (310) 375-7666

23639 Hawthorne Blvd
Ste 102
Torrance, CA 90505
Phone (310) 373-9980

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: wasima.masoodi.1@29913.direct.athenahealth.com

Organizations & group practices 4

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1275563017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23639 HAWTHORNE BLVD",
            "address_2": "SUITE 102",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055930",
            "telephone_number": "310-373-9980",
            "fax_number": "310-373-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23639 HAWTHORNE BLVD",
            "address_2": "SUITE 102",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055930",
            "telephone_number": "310-373-9980",
            "fax_number": "310-373-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASOODI",
        "first_name": "WASIMA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A70496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.