Mary Sameh Elmasri

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1311 S Anaheim Blvd
Anaheim, CA 92805-6202

Phone

(714) 635-6400

NPI assigned

Jun 12, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Anaheim Market Clinic

  • Family Medicine Physician
  • Anaheim, CA
  • NPI 1790916237
  NPD (past)
• Costa Mesa Medical Clinic

  • Primary Care Clinic/Center
  • Costa Mesa, CA
  • NPI 1598902660
  NPD (past)
• Nexwave Medical PC

  • Primary Care Clinic/Center
  • Costa Mesa, CA
  • NPI 1639046774
  NPD (past)

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1447819461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30262 CROWN VALLEY PKWY STE B447",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 S ANAHEIM BLVD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928056202",
            "telephone_number": "714-635-6400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30262 Crown Valley Pkwy Ste B447",
            "address_purpose": "LOCATION",
            "city": "Laguna Niguel",
            "state": "CA",
            "postal_code": "926772364",
            "country_code": "US",
            "telephone_number": "714-380-2354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1430 W 1st St",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927033724",
            "country_code": "US",
            "telephone_number": "714-955-0038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "745 W 19th St Ste F",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926273536",
            "country_code": "US",
            "telephone_number": "949-574-0210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELMASRI",
        "first_name": "MARY",
        "middle_name": "SAMEH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward M. Ellison Jr., MD
• Sheryll Vera Cruz Ellorenco, MA
• Shanda Ellsworth-Lobatos
• Christa Marie Ellsworth, PHARMD
• Maha Azmi Elmasri, DDS
• Eloquent Senior Care Orange County
• Mohamed Elsayed
• Mona Elsayed
• Veronica C Else, NP
• Hanan Elshennawy, MA

• Physician Assistant in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.