Individual provider Active NPI

Michelle Massie, MD

  • Family Medicine Physician
  • Santa Cruz, CA
National Provider Identifier
1467432963
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A52098 Issued in CA
Practice address
115 Locust St
Santa Cruz, CA 95060-3907
Phone
(209) 603-8524
NPI assigned
Jan 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A52098 CA Primary

Addresses

Primary practice location

115 Locust St
Santa Cruz, CA 95060-3907

Mailing address

PO Box 1833
Santa Cruz, CA 95061-1833
Phone (209) 603-8524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Rochester School of Medicine and Dentistry, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2025 Soquel Ave
Santa Cruz, CA 85062-1323

2025 Soquel Ave
Santa Cruez, CA 95062-1323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
52098CAMDMarriage & Family Therapist
A52098CAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1467432963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1833",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950611833",
            "telephone_number": "209-603-8524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 LOCUST ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603907",
            "telephone_number": "209-603-8524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSIE",
        "first_name": "MICHELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A52098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.