Active NPI
Susan Virginia Massey
- Surgical Oncology Physician
- Beverly Hills, CA
National Provider Identifier
1619486644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- 21114
- Practice address
- 8900 Wilshire Blvd Ste 300
Beverly Hills, CA 90211-1959 - Phone
- (310) 273-8002
- NPI assigned
- Sep 21, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Oncology Physician | 2086X0206X | 21114 | CA | Primary |
Addresses
Primary practice location
8900 Wilshire Blvd Ste 300
Beverly Hills, CA 90211-1959
Mailing address
1041 S Corning St Apt 203
Los Angeles, CA 90035-2040
Phone (631) 223-5404
Other practice location 1
8950 W Olympic Blvd Ste 106
Beverly Hills, CA 90211-3575
Phone (310) 274-8080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21114 | CA | MD | Surgical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boulevard Pharmacy Inc | Past | Accepting new patients | |
| Boulevard Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinic/Center
- Beverly Hills, CA
- NPI 1003331612
-
- Community/Retail Pharmacy
- Beverly Hills, CA
- NPI 1871692822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1619486644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1041 S CORNING ST APT 203",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900352040",
"telephone_number": "631-223-5404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8900 WILSHIRE BLVD STE 300",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902111959",
"telephone_number": "310-273-8002"
}
],
"practiceLocations": [
{
"address_1": "8950 W Olympic Blvd Ste 106",
"address_purpose": "LOCATION",
"city": "Beverly Hills",
"state": "CA",
"postal_code": "902113575",
"country_code": "US",
"telephone_number": "310-274-8080",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MASSEY",
"first_name": "SUSAN",
"middle_name": "VIRGINIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-21",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "CA",
"license": "21114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.