Active NPI
Johnathan David Maskin, M.D.
- Anesthesiology Physician
- Pasadena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A41837
- Practice address
- 100 W California Blvd
Pasadena, CA 91105-3010 - Phone
- (626) 397-5000
- Fax
- (626) 397-2912
- NPI assigned
- Jul 26, 2006
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A41837 | CA | Primary |
Addresses
Primary practice location
100 W California Blvd
Pasadena, CA 91105-3010
Mailing address
225 S Lake Ave
535
Pasadena, CA 91101-3005
Phone (626) 795-6597
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A418370 | Other | CA | BLUE SHIELD |
| 00A418370 | Medicaid | CA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050329000540 | CA | Practitioner - Anesthesiology | 9537061338 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pacific Valley Medical Group
Practice addresses (Care Compare)
100 W California Blvd
Pasadena, CA 91105-3010
Phone (626) 440-9161
333 S Arroyo Pkwy
FL 3
Pasadena, CA 91105-2515
Phone (626) 440-9161
Hospital & facility affiliations
- Providence Cedars Sinai Tarzana Medical Center
- Huntington Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A41837 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of San Mateo | Current | Accepting new patients | |
| HP Anesthesia Inc | Anesthesiology | Current | Accepting new patients |
| County of San Mateo | Current | Accepting new patients | |
| County of San Mateo | Current | Accepting new patients | |
| Socal Anesthesia Solutions, Inc | Anesthesiology | Current | Accepting new patients |
| Pacific Valley Medical Group | Anesthesiology | Current | Accepting new patients |
| Pasadena Hospital Association, LTD. | Past | Accepting new patients |
Locations
300 W Huntington Dr
Arcadia, CA 91007
Phone (626) 445-4441
15503 Ventura Blvd
Ste 200
Encino, CA 91436
Phone (818) 788-7288
1400 S Grand Ave
Ste 700
Los Angeles, CA 90015
Phone (213) 765-7500
2131 W 3rd St
Los Angeles, CA 90057
Phone (213) 484-5525
1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555
1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000
323 S Heliotrope Ave
Monrovia, CA 91016
Phone (626) 408-9800
333 S Arroyo Pkwy
Fl 3
Pasadena, CA 91105
Phone (626) 440-9161
100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445
797 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 535-2434
225 S Lake Ave
Ste 535
Pasadena, CA 91101
222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222
Organizations & group practices 7
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.
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- Anesthesiology Physician
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- Community/Behavioral Health Agency
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- NPI 1528432481
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- Multi-Specialty Clinic/Center
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- NPI 1740359496
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- Psychiatric Hospital Unit
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- NPI 1437121142
Hospital & facility affiliations 2
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": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202947200000",
"number": "1386668366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 S LAKE AVE",
"address_2": "535",
"city": "PASADENA",
"state": "CA",
"postal_code": "911013005",
"telephone_number": "626-795-6597",
"fax_number": "626-795-8247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W CALIFORNIA BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911053010",
"telephone_number": "626-397-5000",
"fax_number": "626-397-2912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASKIN",
"first_name": "JOHNATHAN",
"middle_name": "DAVID",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2008-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A41837",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00A418370",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A418370",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.