NPIMap

Individual provider Active NPI

Essam Maasarani, M.D.

  • Nephrology Physician
  • Long Beach, CA
National Provider Identifier
1366448136
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A045446 Issued in CA
Practice address
3780 Kilroy Airport Way Ste 115
Long Beach, CA 90806
Phone
(562) 595-7426
Fax
(562) 989-3054
NPI assigned
Jun 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A045446 CA Primary

Addresses

Primary practice location

3780 Kilroy Airport Way Ste 115
Long Beach, CA 90806

Mailing address

3780 Kilroy Airport Way
Suite 115
Long Beach, CA 90806-2458
Phone (562) 595-7426

Other identifiers 1

IdentifierTypeStateIssuer
00A454460MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100922000789 CA Practitioner - NephrologyPractitioner - Internal Medicine 3375572233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coast Nephrology Medical Group Inc.Group PAC ID 8628034659, 7 clinicians

Practice addresses (Care Compare)

3780 Kilroy Airport Way
Suite 115
Long Beach, CA 90806-2458
Phone (562) 595-7426

Hospital & facility affiliations

  • USRC Long Beach Dialysis Dialysis facility, Long Beach, CA, CCN 052840
  • USRC West Coast Dialysis Dialysis facility, Long Beach, CA, CCN 052747
  • St Mary Medical Center Hospital, Long Beach, CA, CCN 050191
  • Memorialcare Long Beach Medical Center Hospital, Long Beach, CA, CCN 050485
  • Uci Health-Orange Hospital, Orange, CA, CCN 050348

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A045446CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Long Beach Dialysis Center, LLC PastSince Jun 1, 2019 Accepting new patients
John Hsieh MD Inc Nephrology Past Accepting new patients
Dignity Health Past Accepting new patients
West Coast Dialysis Center, Inc. PastSince Aug 10, 2005 Accepting new patients
Long Beach Memorial Medical Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: emaasarani27652@direct.davitaphysiciansolutions.com

Organizations & group practices 6

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 6

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": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1366448136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3780 KILROY AIRPORT WAY",
            "address_2": "SUITE 115",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062458",
            "telephone_number": "562-595-7426",
            "fax_number": "562-989-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3780 KILROY AIRPORT WAY STE 115",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90806",
            "telephone_number": "562-595-7426",
            "fax_number": "562-989-3054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAASARANI",
        "first_name": "ESSAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A045446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A454460",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.