NPIMap

Individual provider Active NPI

Chase Masao Tamashiro

  • Foot & Ankle Surgery Podiatrist
  • Beverly Hills, CA
National Provider Identifier
1487117875
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5861 Issued in CA
Practice address
9100 Wilshire Blvd Ste 280E
Beverly Hills, CA 90212-3562
Phone
(310) 652-3668
NPI assigned
Apr 11, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery Podiatrist 213ES0103X E5861 CA Primary

Addresses

Primary practice location

9100 Wilshire Blvd Ste 280E
Beverly Hills, CA 90212-3562

Mailing address

9100 Wilshire Blvd Ste 280E
Beverly Hills, CA 90212-3562
Phone (310) 652-3668

Other practice location 1

16311 Ventura Blvd Ste 650
Encino, CA 91436-4320
Phone (818) 981-1808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220707000782 CA Practitioner - Podiatry 5193105286 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Doctors Inc a Professional CorporationGroup PAC ID 1052327624, 9 clinicians

Practice addresses (Care Compare)

9100 Wilshire Blvd
Suite 280E
Beverly Hills, CA 90212-3562
Phone (310) 652-3668

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue139
Removal of skin lesions19
Removal of nail tissue2809
Removal or shaving of skin growth448

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5861CAMDFoot & Ankle Surgery Podiatrist
5861CAMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare California, PC Foot & Ankle Surgery CurrentSince Aug 1, 2022 Accepting new patients
Upperline Healthcare California PC Foot & Ankle Surgery CurrentSince Aug 1, 2022 Accepting new patients
Foot & Ankle Doctors Inc a Professional Corporation Foot & Ankle Surgery CurrentSince May 1, 2023 Accepting new patients
Southern California Healthcare System, Inc Past Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients
Brotman Medical Center, Inc. Past Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients
Tarzana Medical Center LLC Past Accepting new patients

Locations

9100 Wilshire Blvd
Ste 280E
Beverly Hills, CA 90212
Phone (310) 652-3668

241 W Olive Ave
Burbank, CA 91502
Phone (818) 848-5561

16311 Ventura Blvd
Ste 650
Encino, CA 91436
Phone (818) 907-5433

9017 Reseda Blvd
Ste 100
Northridge, CA 91324
Phone (818) 885-8400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 8

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1487117875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 WILSHIRE BLVD STE 280E",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123562",
            "telephone_number": "310-652-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 WILSHIRE BLVD STE 280E",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123562",
            "telephone_number": "310-652-3668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16311 Ventura Blvd Ste 650",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "914364320",
            "country_code": "US",
            "telephone_number": "818-981-1808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAMASHIRO",
        "first_name": "CHASE",
        "middle_name": "MASAO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-11",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.