Active NPI
Orena Massachi, PA
- Physician Assistant
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA63743
- Practice address
- 1127 Wilshire Blvd Ste 800
Los Angeles, CA 90017-3909 - Phone
- (213) 839-1119
- Fax
- (213) 839-1120
- NPI assigned
- Jul 26, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA63743 | CA | Primary |
Addresses
Primary practice location
1127 Wilshire Blvd Ste 800
Los Angeles, CA 90017-3909
Mailing address
224 N Fair Oaks Ave Ste 300
Pasadena, CA 91103-3618
Phone (626) 696-1400
Other practice location 1
9808 Venice Blvd Ste 706
Culver City, CA 90232
Phone (323) 932-9880
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11825 Major St
Suite 107
Culver City, CA 90230-6356
Phone (310) 915-6100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA63743 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Algos Inc. a Medical Corporation | Current | Accepting new patients | |
| Algos Inc., a Medical Corporation | Single Specialty | Current | Accepting new patients |
| Algos Inc., a Medical Corporation | Single Specialty | Past | Accepting new patients |
| Algos Inc., a Medical Corporation | Single Specialty | Past | Accepting new patients |
| Ac and CS | Single Specialty | Past | Accepting new patients |
Locations
9808 Venice Blvd
Ste 706
Culver City, CA 90232
Phone (310) 839-3200
1127 Wilshire Blvd
Ste 800
Los Angeles, CA 90017
Phone (213) 241-7250
1017 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 403-6200
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Synovation Medical Group
- Pain Medicine Physician
- Pasadena, CA
- NPI 1497747356
Single Specialty
-
- Primary Care Clinic/Center
- Whittier, CA
- NPI 1851191019
-
- Primary Care Clinic/Center
- Corona, CA
- NPI 1508507229
-
- Family Medicine Physician
- Glendale, CA
- NPI 1124886437
-
- General Practice Physician
- Culver City, CA
- NPI 1821961863
-
dba Synovation Medical Group
- Pain Medicine Physician
- Pomona, CA
- NPI 1356850648
-
dba Synovation Medical Group
- Pain Medicine Physician
- Visalia, CA
- NPI 1245832419
Single Specialty
-
dba Synovation Medical Group
- Pain Medicine Physician
- Simi Valley, CA
- NPI 1063890275
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707091200000",
"number": "1417638115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 N FAIR OAKS AVE STE 300",
"city": "PASADENA",
"state": "CA",
"postal_code": "911033618",
"telephone_number": "626-696-1400",
"fax_number": "626-696-1451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1127 WILSHIRE BLVD STE 800",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900173909",
"telephone_number": "213-839-1119",
"fax_number": "213-839-1120"
}
],
"practiceLocations": [
{
"address_1": "9808 Venice Blvd Ste 706",
"address_purpose": "LOCATION",
"city": "Culver City",
"state": "CA",
"postal_code": "90232",
"country_code": "US",
"telephone_number": "323-932-9880",
"fax_number": "323-932-9829",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MASSACHI",
"first_name": "ORENA",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-26",
"last_updated": "2024-02-05",
"certification_date": "2024-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA63743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.