Active NPI
Riyaz Sadruddin Masani, MCS, MBA, LVN
- Licensed Vocational Nurse
- Lincoln, CA
National Provider Identifier
1366675571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 237193
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 237193 | CA | MD | Licensed 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.