Individual provider Active NPI

Kasra Maasumi, M.D.

  • Interventional Pain Medicine Physician
  • Rancho Santa Margarita, CA
National Provider Identifier
1306161963
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
A118512 Issued in CA
Practice address
30212 Tomas Ste 180
Rancho Santa Margarita, CA 92688-2174
Phone
(949) 599-7400
Fax
(949) 599-1430
NPI assigned
Apr 6, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X CA118512 CA
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X CA118512 CA
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X A118512 CA Primary

Addresses

Primary practice location

30212 Tomas Ste 180
Rancho Santa Margarita, CA 92688-2174

Mailing address

23052 Alicia Pkwy Ste H314
Mission Viejo, CA 92692-1643
Phone (949) 290-2372

Other practice location 1

11370 Anderson St # B100
Loma Linda, CA 92354-3450
Phone (909) 558-4000

Other practice location 2

441 Old Newport Blvd
Newport Beach, CA 92663-4210
Phone (949) 491-9991

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
I20150709002219 CA Practitioner - NeurologyPractitioner - Pain Management 0941512560 Reassigns benefits to 2 organizations
Practice locations: Rancho Santa Margarita, CA

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Pain Management
Education
University of California, Irvine, California College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Faculty Physicians and Surgeons of LlusmGroup PAC ID 1153227814, 1,313 clinicians

Practice addresses (Care Compare)

11370 Anderson St
Loma Linda, CA 92354-3450

30212 Tomas
Suite 180
Rancho Santa Margarita, CA 92688-2174
Phone (949) 599-7400

Hospital & facility affiliations

  • Loma Linda University Medical Center Hospital, Loma Linda, CA, CCN 050327

Merit-based Incentive Payment System (MIPS)

Final score
88.87 of 100Reported as group
Quality
72.13
Promoting interoperability
80
Improvement activities
40
Cost
77.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CA118512CAMDPain Medicine (Psychiatry & Neurology) Physician
A118512CAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Faculty Physicians and Surgeons of Llusm CurrentSince Dec 1, 2021 Accepting new patients
Newport Care Medical Group Inc CurrentSince Oct 22, 2021 Accepting new patients
Newport Care Medical Group, Inc Single Specialty CurrentSince Oct 22, 2021 Accepting new patients
Faculty Physicians and Surgeons of Llusm Single Specialty Current Accepting new patients
Faculty Physicians and Surgeons of Llusm Past Accepting new patients
Loma Linda University Medical Center Interventional Pain Medicine Past Accepting new patients
Zakiat Darojat PA Single Specialty PastSince Mar 19, 2023 Accepting new patients
Loma Linda University Children'S Hospital Interventional Pain Medicine Past Accepting new patients

Locations

3490 Linden Ave
Ste 2
Long Beach, CA 90807
Phone (888) 368-1850

1711 W Temple St
Ste 4675
Los Angeles, CA 90026
Phone (213) 483-6563

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

441 Old Newport Blvd
Newport Beach, CA 92663
Phone (714) 309-9270

441 Old Newport Blvd
Ste 201
Newport Beach, CA 92663

2617 E Chapman Ave
Ste 110
Orange, CA 92869
Phone (714) 633-0011

1041 E Yorba Linda Blvd
Ste 306
Placentia, CA 92870
Phone (714) 577-9500

4354 Latham St
Ste 100
Riverside, CA 92501
Phone (909) 787-1101

3560 Arlington Ave
Riverside, CA 92506
Phone (909) 680-1200

1386 W 7th St
Ste 306
San Pedro, CA 90732

28780 Single Oak Dr
Ste 270
Temecula, CA 92590
Phone (951) 600-1795

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: kmaasumi@kmm-ca1.direct.office.nextgen.com
  • Direct secure messaging: kmaasumi269522@direct.llu.edu

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1270512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1306161963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23052 ALICIA PKWY STE H314",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926921643",
            "telephone_number": "949-290-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30212 TOMAS STE 180",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882174",
            "telephone_number": "949-599-7400",
            "fax_number": "949-599-1430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11370 Anderson St # B100",
            "address_purpose": "LOCATION",
            "city": "Loma Linda",
            "state": "CA",
            "postal_code": "923543450",
            "country_code": "US",
            "telephone_number": "909-558-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "441 Old Newport Blvd",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926634210",
            "country_code": "US",
            "telephone_number": "949-491-9991",
            "fax_number": "949-612-9795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAASUMI",
        "first_name": "KASRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-06",
        "last_updated": "2023-03-14",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "CA118512",
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "CA",
            "license": "CA118512",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A118512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Santa Margarita, CA

Sources for this page

Verify at the official NPI Registry.