Active NPI
Masoomeh Djodeir, MD
- Family Medicine Physician
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E-4151
- Practice address
- 4910 Airport Plaza Dr Ste 100
Long Beach, CA 90815-1377 - Phone
- (562) 429-2473
- NPI assigned
- Jan 20, 2006
- Last updated
- Dec 13, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E-4151 | AR | Primary |
Addresses
Primary practice location
4910 Airport Plaza Dr Ste 100
Long Beach, CA 90815-1377
Mailing address
PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203
Other practice location 1
2925 North Palo Verde Ave.
Long Beach, CA 90815
Phone (562) 429-2473
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7484660 | Other | AR | AETNA |
| 2563342 | Other | AR | UNITED HEALTH CARE |
| 5652522 | Other | AR | FIRST HEALTH |
| 157173001 | Medicaid | AR | |
| 05070016600 | Other | AR | QUAL CHOICE |
| 5N077 | Other | AR | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1236 N Magnolia Ave
Anaheim, CA 92801-2607
Phone (714) 995-1000
2600 Redondo Ave
Long Beach, CA 90806-2325
Phone (562) 988-7000
4910 Airport Plaza Dr
Suite 100
Long Beach, CA 90815-1264
Phone (562) 429-2473
824 E Carson St
Suite 104
Carson, CA 90745-2262
Phone (310) 830-9706
8311 Florence Ave
Downey, CA 90240-3928
Phone (562) 923-4911
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-4151 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Partners Affiliates Medical Group | Family Medicine | Current | Accepting new patients |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Bentonville Radiology Consultants, PLLC | Past | Accepting new patients | |
| Memorial Medical Group Inc | Past | Accepting new patients | |
| Orange Coast Memorial Medical Center | Past | Accepting new patients | |
| Talbert Medical Group, P.C. | Family Medicine | Past | Accepting new patients |
| Northwest Arkansas Hospitals, LLC | Past | Accepting new patients | |
| Benton Emergency Group LLC | Past | Accepting new patients |
Locations
1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000
5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864
2910 Jefferson St
Ste 100
Carlsbad, CA 92008
Phone (760) 729-8600
824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706
9930 Talbert Ave
Fountain Vly, CA 92708
Phone (714) 964-6229
2925 Palo Verde Ave
Long Beach, CA 90815
Phone (562) 421-2757
4910 Airport Plaza Dr
Long Beach, CA 90815
Phone (562) 299-6227
4910 Airport Plaza Dr
Ste 100
Long Beach, CA 90815
Phone (562) 429-2473
1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- masoomehdjodeir@hcpca.allscriptsdirect.net
- mdjodeir207038@westdirect.optum.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Optum
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
Family Medicine
-
dba Optum
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
-
- General Acute Care Hospital
- Fountain Valley, CA
- NPI 1497702575
-
dba Talbert Medical Group
- Internal Medicine Physician
- Fountain Valley, CA
- NPI 1528069176
Family Medicine
-
- Emergency Medicine Physician
- Bentonville, AR
- NPI 1720187214
-
- Diagnostic Radiology Physician
- Bentonville, AR
- NPI 1003882747
-
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1255523643
-
dba Northwest Medical Center
- General Acute Care Hospital
- Springdale, AR
- NPI 1699726695
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Long Beach, CA
- NPI 1962442012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765584000000",
"number": "1568442986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35380",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891335380",
"telephone_number": "702-579-3203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4910 AIRPORT PLAZA DR STE 100",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908151377",
"telephone_number": "562-429-2473"
}
],
"practiceLocations": [
{
"address_1": "2925 North Palo Verde Ave.",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "90815",
"country_code": "US",
"telephone_number": "562-429-2473",
"fax_number": "562-496-5577",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DJODEIR",
"first_name": "MASOOMEH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-20",
"last_updated": "2025-12-13",
"certification_date": "2025-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "E-4151",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7484660",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "2563342",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "5652522",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "157173001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUAL CHOICE",
"identifier": "05070016600",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "5N077",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.