Organization Active NPI

Jay S.H. Masserman, M.D., Inc.

  • Obstetrics & Gynecology Physician
  • Fountain Valley, CA
National Provider Identifier
1609148956
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
JAY S.H. MASSERMAN, M.D., INC.
Practice address
11180 Warner Ave.
Suite #455
Fountain Valley, CA 92708
Phone
(714) 556-0536
Fax
(714) 435-9640
NPI assigned
Feb 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Authorized official

Name
Jay S.H. Masserman, M.D.
Title
President
Phone
(714) 556-0536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

11180 Warner Ave.
Suite #455
Fountain Valley, CA 92708

Mailing address

11180 Warner Avenue
Suite 455
Fountain Valley, CA 92708
Phone (714) 556-0536

National Provider Directory

National Provider Directory

Locations

11160 Warner Ave
Ste 219
Fountain Vly, CA 92708
Phone (714) 486-1228

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328140800000",
    "number": "1609148956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11180 WARNER AVENUE",
            "address_2": "SUITE 455",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "92708",
            "telephone_number": "714-556-0536",
            "fax_number": "714-435-9640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11180 WARNER AVE.",
            "address_2": "SUITE #455",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "92708",
            "telephone_number": "714-556-0536",
            "fax_number": "714-435-9640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY S.H. MASSERMAN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-02",
        "last_updated": "2012-02-02",
        "status": "A",
        "authorized_official_last_name": "MASSERMAN",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "S.H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-556-0536",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.