John Massaro, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

20A7971 Issued in CA

Practice address

975 Osos St
San Luis Obispo, CA 93401-3212

Phone

(805) 549-0677

NPI assigned

Aug 3, 2005

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: john.massaro.p8@direct.bfmc.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coastal Communities Physician Network, Inc.

  • Health Maintenance Organization
  • San Luis Obispo, CA
  • NPI 1275735011
  Medicare reassignment
• Central Coast Medical Oncology Corp

  • Hematology & Oncology Physician
  • Santa Maria, CA
  • NPI 1588668271
  NPD (past)
• Salinas Valley Hospitalist Medical Group, Inc

  • Internal Medicine Physician
  • Salinas, CA
  • NPI 1376572958
  NPD (past)

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322611200000",
    "number": "1588665293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 OSOS ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013212",
            "telephone_number": "831-242-8645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 OSOS ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013212",
            "telephone_number": "805-549-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSARO",
        "first_name": "JOHN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2011-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A7971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Magdalena Martins
• Mary Juliana Marzano
• Alexann Calabash Masiko-Meyer, LPCC, LPC, LCMHC
• Sharon Beryl Maslow, R.N.
• Lydie Mason
• Brandi Lee Massengale Cuellar, C.A.T.C.
• Amanda Masters
• Melissa Masters
• Maria C Masullo
• Carlin Joy Matejka, ACSW 123506

• Internal Medicine Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.