Joshua Masillamoni, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

64723 Issued in CA

Practice address

2452 Fenton St # C304
Chula Vista, CA 91914-3599

Phone

(619) 656-4343

NPI assigned

Aug 21, 2015

Sex

Male

Sole proprietor

No

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

Enrolled in CA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499644800000",
    "number": "1417324716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2452 FENTON ST # C304",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919143599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2452 FENTON ST # C304",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919143599",
            "telephone_number": "619-656-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASILLAMONI",
        "first_name": "JOSHUA",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-21",
        "last_updated": "2017-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "64723",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "64723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gema Yanira Martir, MS
• Michel Martir, LCSW
• Emily Marty
• Efrain Mascareno, O.D.
• Kara J Mase, M.S., CCC-SLP
• Jessica Shanshan Maslin, M.D.
• Wendy Lee Mason, LVN
• Deema Soufi Massalkhi
• Safoura Massoumi, DDS PEDIATRIC DENTIS
• Andrew James Masters, PT, DPT

• General Practice Dentistry in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.