Individual provider Active NPI

Michael Farell Massa, M.D.

  • Psychiatry Physician
  • Indio, CA
National Provider Identifier
1598825382
Registry record updated Aug 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C53548 Issued in CA
Practice address
47825 Oasis St
Riverside County Dept. of Mental Health
Indio, CA 92201
Phone
(760) 863-8507
NPI assigned
Dec 11, 2006
Last updated
Aug 25, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X C53548 CA Primary

Addresses

Primary practice location

47825 Oasis St
Riverside County Dept. of Mental Health
Indio, CA 92201

Mailing address

47825 Oasis St.
Riverside County Dept. of Mental Health
Indio, CA 92201
Phone (760) 863-8507

Other identifiers 1

IdentifierTypeStateIssuer
036110375MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110902000226 CA Practitioner - Psychiatry 6901899277 Reassigns benefits to 3 organizations
I20180411002139 MO Practitioner - Psychiatry 6901899277 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Medical University of South Carolina College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - Psychiatry PCGroup PAC ID 0244522159, 93 clinicians

Practice addresses (Care Compare)

1400 E Church St
Santa Maria, CA 93454-5906
Phone (805) 739-3000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Springfield CurrentSince Nov 9, 2020 Accepting new patients
County of Monterey Behavioral Health CurrentSince May 17, 2023 Accepting new patients
Mercy Hospital Springfield CurrentSince Nov 9, 2020 Accepting new patients
County of Monterey CurrentSince May 17, 2023 Accepting new patients
Cep America - Psychiatry PC Psychiatry CurrentSince Apr 1, 2021 Accepting new patients
County of Monterey Current Accepting new patients
Mercy East Support Services, LLC CurrentSince Nov 18, 2018 Accepting new patients
Santa Barbara County County Auditor CurrentSince Aug 7, 2017 Accepting new patients
Cep America - Psychiatry PC Psychiatry CurrentSince Apr 1, 2021 Accepting new patients
Riaz Baber MD SC PastSince Jun 1, 2001 Accepting new patients
Psychiatric Group of the Coastal Empire, Inc. Psychiatry Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

900 Hyde St
San Francisco, CA 94109
Phone (415) 353-6000

4444 Calle Real
Santa Barbara, CA 93110
Phone (805) 681-5190

1400 E Church St
Santa Maria, CA 93454
Phone (805) 739-3000

10018 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-4412

10020 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 251-6766

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

1965 S Fremont Ave
Ste 330
Springfield, MO 65804
Phone (417) 820-8180

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

Organizations & group practices 11

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314230400000",
    "number": "1598825382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47825 OASIS ST.",
            "address_2": "RIVERSIDE COUNTY DEPT. OF MENTAL HEALTH",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "92201",
            "telephone_number": "760-863-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47825 OASIS ST",
            "address_2": "RIVERSIDE COUNTY DEPT. OF MENTAL HEALTH",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "92201",
            "telephone_number": "760-863-8507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSA",
        "first_name": "MICHAEL",
        "middle_name": "FARELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2011-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C53548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036110375",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indio, CA

Sources for this page

Verify at the official NPI Registry.