Individual provider Active NPI

Riyaz Sadruddin Masani, MCS, MBA, LVN

  • Licensed Vocational Nurse
  • Lincoln, CA
National Provider Identifier
1366675571
Registry record updated Feb 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
237193 Issued in CA
Practice address
458 Darlington Way
Lincoln, CA 95648-2927
Phone
(916) 459-8686
NPI assigned
Sep 3, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 237193 CA Primary

Addresses

Primary practice location

458 Darlington Way
Lincoln, CA 95648-2927

Mailing address

322 Nassau LN
Hayward, CA 94544-7320
Phone (916) 459-8686

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
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
237193CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613174400000",
    "number": "1366675571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 NASSAU LN",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945447320",
            "telephone_number": "916-459-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 DARLINGTON WAY",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956482927",
            "telephone_number": "916-459-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASANI",
        "first_name": "RIYAZ",
        "middle_name": "SADRUDDIN",
        "credential": "MCS, MBA, LVN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-03",
        "last_updated": "2021-02-13",
        "certification_date": "2021-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "237193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.