Individual provider Active NPI

Masoomeh Djodeir, MD

  • Family Medicine Physician
  • Long Beach, CA
National Provider Identifier
1568442986
Registry record updated Dec 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-4151 Issued in AR
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2025

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 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

IdentifierTypeStateIssuer
7484660OtherARAETNA
2563342OtherARUNITED HEALTH CARE
5652522OtherARFIRST HEALTH
157173001MedicaidAR
05070016600OtherARQUAL CHOICE
5N077OtherARBCBS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130104000116 CA Practitioner - Family Practice 9436109063 Reassigns benefits to 1 organization

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

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-4151ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group Family Medicine CurrentSince Jan 1, 2015 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jan 1, 2015 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

  • Direct secure messaging: masoomehdjodeir@hcpca.allscriptsdirect.net
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.