Redwood Phoenix Medical, PC

Primary specialty

Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X

Legal business name

REDWOOD PHOENIX MEDICAL, PC

Practice address

825 Pollard Rd Ste 100
Los Gatos, CA 95032-1435

Phone

(415) 275-0092

NPI assigned

Jun 30, 2023

Last updated

Jun 30, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tony Masri, MDNPI 1548458466

Title

Owner/Physician

Phone

(415) 275-0092

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tony Masri, MD

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Los Gatos, CA
  • NPI 1548458466
  NPD Authorized official

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1295412211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 COLE ST # 298",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941174316",
            "telephone_number": "415-275-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 POLLARD RD STE 100",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321435",
            "telephone_number": "415-275-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD PHOENIX MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A",
        "authorized_official_last_name": "MASRI",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "415-275-0092",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sleep Medicine (Psychiatry & Neurology) Physician in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Sleep Medicine (Psychiatry & Neurology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.