Organization Active NPI

Allen Massihi, Podiatric Inc.

  • Foot & Ankle Surgery Podiatrist
  • Glendale, CA
National Provider Identifier
1578585550
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4353 Issued in CA
Legal business name
ALLEN MASSIHI, PODIATRIC INC.
Practice address
311 N Verdugo Rd
Glendale, CA 91206-3944
Phone
(818) 409-9912
Fax
(818) 553-1720
NPI assigned
Jul 25, 2006
Last updated
Jul 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Authorized official

Name
Allen Massihi, DPMNPI 1780606764
Title
Doctor Podiatric Medicine
Phone
(818) 748-7319

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E4353 CA Primary

Addresses

Primary practice location

311 N Verdugo Rd
Glendale, CA 91206-3944

Mailing address

4058 Woodcliff Rd
Sherman Oaks, CA 91403-4334
Phone (818) 748-7319

Other identifiers 1

IdentifierTypeStateIssuer
000E43531MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040113000562 CA Part B Supplier - Clinic/Group Practice 0749180883 Receives reassigned benefits from 1 practitioner
Practice locations: Glendale, CA; Sherman Oaks, CA

National Provider Directory

National Provider Directory

Locations

425 W Bonita Ave
Ste 1
San Dimas, CA 91773

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22761/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1578585550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4058 WOODCLIFF RD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914034334",
            "telephone_number": "818-748-7319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N VERDUGO RD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912063944",
            "telephone_number": "818-409-9912",
            "fax_number": "818-553-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN MASSIHI, PODIATRIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "MASSIHI",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "DOCTOR PODIATRIC MEDICINE",
        "authorized_official_telephone_number": "818-748-7319",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E43531",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.