Organization Active NPI

Wasima Masoodi MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Lomita, CA
National Provider Identifier
1437293107
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
WA70496A Issued in CA
Legal business name
WASIMA MASOODI MD
Practice address
24805 Narbonne Ave
Lomita, CA 90717-1525
Phone
(310) 373-9980
Fax
(310) 373-5556
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Authorized official

Name
Wasima Masoodi, MDNPI 1275563017
Title
Doctor
Phone
(310) 373-9980

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X WA70496A CA Primary

Addresses

Primary practice location

24805 Narbonne Ave
Lomita, CA 90717-1525

Mailing address

24805 Narbonne Ave
Lomita, CA 90717-1525
Phone (310) 373-9980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031119000440 CA Part B Supplier - Clinic/Group Practice 2668386905 Receives reassigned benefits from 1 practitioner
Practice locations: Lomita, CA

National Provider Directory

National Provider Directory

Locations

23639 Hawthorne Blvd
Ste 102
Torrance, CA 90505
Phone (310) 373-9980

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1437293107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24805 NARBONNE AVE",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907171525",
            "telephone_number": "310-373-9980",
            "fax_number": "310-373-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24805 NARBONNE AVE",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907171525",
            "telephone_number": "310-373-9980",
            "fax_number": "310-373-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASIMA MASOODI MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "MASOODI",
        "authorized_official_first_name": "WASIMA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "310-373-9980",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "WA70496A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lomita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.