Nima Sayed Massoomi, DMD, MED, MD

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

A103713 Issued in CA

Practice address

10393 Torre Ave Ste L
Cupertino, CA 95014-3235

Phone

(408) 253-6084

Fax

(408) 253-5125

NPI assigned

Jan 4, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 28, 2016 through Mar 28, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine, Master of Education

State licenses

Practice roles

Locations

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.

• Nima Massoomi DME Med MD Inc.

  • Oral and Maxillofacial Surgery Clinic/Center
  • Los Gatos, CA
  • NPI 1275228421

  Oral & Maxillofacial Surgery

  NPD Authorized official
• Hoghooghi, Massoomi, Sodeifi, Surpure, DMD, MD, Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • San Francisco, CA
  • NPI 1659637155
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1346397221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10393 TORRE AVE STE L",
            "address_2": "SILICON VALLEY SURGICAL ARTS INC.",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143235",
            "telephone_number": "408-253-6081",
            "fax_number": "408-253-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10393 TORRE AVE STE L",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143235",
            "telephone_number": "408-253-6084",
            "fax_number": "408-253-5125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15780 Los Gatos Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Gatos",
            "state": "CA",
            "postal_code": "950322508",
            "country_code": "US",
            "telephone_number": "408-358-5000",
            "fax_number": "408-358-7936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASSOOMI",
        "first_name": "NIMA",
        "middle_name": "SAYED",
        "name_prefix": "Dr.",
        "credential": "DMD, MED, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "81",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "A103713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Mary Marino, PSY.D.
• Marisa Chiropractic Inc.
• Maricel Bugarin Marquez
• Erika Martinez Meraz
• Raul Antonio Martinez Jr.
• Natalie Matian, DPT
• Zachary Lorenzo Maxey
• Sogol N Mazaheri, DPT
• Maayan Geller McClellan, DPT
• Alan Ray McClintick, PA

• Oral & Maxillofacial Surgery (D.M.D.) in Cupertino, CA
• Providers in Cupertino, CA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.