Ella Mastov

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

655963 Issued in CA

Practice address

6658 Capistrano Ave
West Hills, CA 91307-3731

Phone

(323) 327-8554

NPI assigned

Jul 18, 2017

Last updated

Jul 18, 2017By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Advanced Home Dialysis, Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Reseda, CA
  • NPI 1477294817

  Registered Nurse

  NPD Authorized official
• My Serenity Board and Care

  • Assisted Living Facility
  • West Hills, CA
  • NPI 1255880167
  NPD (past) Authorized official
• My Serenity Senior Care

  dba My Serenity Senior Home

  • Assisted Living Facility
  • West Hills, CA
  • NPI 1417594136
  Authorized official Same address or phone

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500336000000",
    "number": "1457874869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7939 COWPER AVE",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913046101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6658 CAPISTRANO AVE",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913073731",
            "telephone_number": "323-327-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTOV",
        "first_name": "ELLA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-18",
        "last_updated": "2017-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "655963",
            "primary": true
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "655963",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Miguel Martinez, DO
• Anait Martirosian
• Mary Olender MD Inc
• Edgar Lacanlale Masangkay, D.C.
• Ojen Masrour, M.D.
• Masudian Dental Corporation
• Surbhi Mathur, MD
• Matt N. Young, M.D.
• Jonathan Scott Matthew, MD
• Anna Jenny Sofie Mauldin, P.T.

• Registered Nurse in West Hills, CA
• Providers in West Hills, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2017; 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.