Arkady Michailovich Massen, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A527260 Issued in CA

Practice address

19682 Hesperian Blvd Ste 101a
1393 Santa Rita Rd. #a
Hayward, CA 94541-4752

Phone

(510) 783-0536

Fax

(510) 315-1103

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298505600000",
    "number": "1306943626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19682 HESPERIAN BLVD STE 101A",
            "address_2": "1393 SANTA RITA RD. #A",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945414752",
            "telephone_number": "510-783-0536",
            "fax_number": "510-315-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19682 HESPERIAN BLVD STE 101A",
            "address_2": "1393 SANTA RITA RD. #A",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945414752",
            "telephone_number": "510-783-0536",
            "fax_number": "510-315-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSEN",
        "first_name": "ARKADY",
        "middle_name": "MICHAILOVICH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A527260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cierra Marzett
• Jonas Cruz Masikat, M.D
• Nureldin Maslu Lozoya
• Massen Medical Inc.
• Massen Medical Office
• Ronald Martin Masters
• Irene Macansantos Mateo
• Madelene Mateo
• Danielle Marie Matiuk, R.A.S.
• Keith A. Matsuoka, MD

• Family Medicine Physician in Hayward, CA
• Providers in Hayward, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.