Individual provider Active NPI

Roya Masoud, D.O.

  • Family Medicine Physician
  • Paramount, CA
National Provider Identifier
1295926087
Registry record updated Sep 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A10231 Issued in CA
Practice address
16415 Colorado Ave 410
Paramount, CA 90723-5084
Phone
(562) 529-2259
NPI assigned
Aug 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A10231 CA Primary

Addresses

Primary practice location

16415 Colorado Ave 410
Paramount, CA 90723-5084

Mailing address

16415 Colorado Ave 140
Paramount, CA 90723-5035
Phone (562) 529-5229

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
I20100209000421 CA Practitioner - Family Practice 9436292711 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oc Health Medical Corporation CurrentSince May 15, 2024 Accepting new patients
Applecare Hospitalist Medical Group, Inc. Past Accepting new patients
Rancho Faculty Medical Associates, Inc. Past Accepting new patients

Locations

438 E Katella Ave
Ste B
Orange, CA 92867
Phone (714) 744-5000

438 E Katella Ave
Ste F
Orange, CA 92867
Phone (714) 296-6264

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443052800000",
    "number": "1295926087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16415 COLORADO AVE 140",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907235035",
            "telephone_number": "562-529-5229",
            "fax_number": "562-529-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16415 COLORADO AVE 410",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907235084",
            "telephone_number": "562-529-2259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASOUD",
        "first_name": "ROYA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2015-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A10231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramount, CA

Sources for this page

Verify at the official NPI Registry.