Active NPI
Frederic Massoua
- Psychiatric/Mental Health Registered Nurse
- Los Angeles, CA
National Provider Identifier
1306365523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 95451598
- Practice address
- 8401 S Vermont Ave
Los Angeles, CA 90044-3423 - Phone
- (424) 221-0662
- NPI assigned
- Sep 19, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 95451598 | CA | Primary |
Addresses
Primary practice location
8401 S Vermont Ave
Los Angeles, CA 90044-3423
Mailing address
8401 S Vermont Ave
Los Angeles, CA 90044-3423
Phone (424) 221-0662
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 163WP08087X | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LN281611 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787011200000",
"number": "1306365523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8401 S VERMONT AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900443423",
"telephone_number": "424-221-0662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8401 S VERMONT AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900443423",
"telephone_number": "424-221-0662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSOUA",
"first_name": "FREDERIC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-19",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "CA",
"license": "95451598",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "163WP08087X",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.