Abdul Samad Masoud, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A48404 Issued in CA

Practice address

555 W Compton Blvd Ste 104
Compton, CA 90220-3099

Phone

(310) 639-7200

Fax

(310) 639-0200

NPI assigned

Nov 9, 2006

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

Other identifiers 4

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

Specialty

General SurgeryAlso: Internal Medicine

Education

Other, 1977

Medicare assignment

May accept Medicare assignment

Group practices

Sunshine Medical Clinic IncGroup PAC ID 6901073964, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Sunshine Medical Clinic Inc

  • Internal Medicine Physician
  • Compton, CA
  • NPI 1386721900
  Medicare reassignment Care Compare group NPD
• Oc Health Medical Corporation

  • Internal Medicine Physician
  • Orange, CA
  • NPI 1164278404
  Medicare reassignment NPD
• Muhammad J. Memon Professional Corporation

  • Family Medicine Physician
  • Compton, CA
  • NPI 1376873554
  NPD

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1578633913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W COMPTON BLVD STE 104",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902203099",
            "telephone_number": "310-639-7200",
            "fax_number": "310-639-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W COMPTON BLVD STE 104",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902203099",
            "telephone_number": "310-639-7200",
            "fax_number": "310-639-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASOUD",
        "first_name": "ABDUL",
        "middle_name": "SAMAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A48404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHEILD #",
            "identifier": "ZZZ03316Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A484040",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE #",
            "identifier": "A48404",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS #",
            "identifier": "P00121487",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gid Martin, LMFT
• Imelda Martinez, RDA
• Irving Martinez, LCSW
• Tony Martinez, PHD
• Shabnam Masood
• Daniel Matemotja, MD
• Janine Mathis
• Matthew Adeleke (Adex Medical Supply)
• Minnie McClain
• Debby McClendon, NURSE PRACTITIONER

• Family Medicine Physician in Compton, CA
• Providers in Compton, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.
• 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.

Verify at the official NPI Registry.