Benedicto Gaona Masilungan, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A053680 Issued in CA

Practice address

509 So Cedros Ave
#A
Solana Beach, CA 92075

Phone

(858) 350-4414

Fax

(858) 519-0002

NPI assigned

Jan 22, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Sep 22, 2014 through Sep 22, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578617205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 SO CEDROS AVE",
            "address_2": "#A",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "92075",
            "telephone_number": "858-350-4414",
            "fax_number": "858-519-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 SO CEDROS AVE",
            "address_2": "#A",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "92075",
            "telephone_number": "858-350-4414",
            "fax_number": "858-519-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASILUNGAN",
        "first_name": "BENEDICTO",
        "middle_name": "GAONA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A053680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas C Manheim, PH.D.
• Andrea Parisa Mann, D.O.
• Thomas A. Markle II, D. M. D.
• Anellina Marrelli, L.C.S.W.
• Nicholas Martin
• Claudia Matar de Brun, AMFT
• Kaiden Maxwell, D.C.
• Lana Jessica Maxwell, PSY.D.
• Charles Francis Mayberry, L.AC.
• Tami Mayers, PHARM.D.

• General Practice Physician in Solana Beach, CA
• Providers in Solana Beach, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.