Active NPI
Michael Denis Masterson, M.D.
- Medical Oncology Physician
- Westlake Village, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- G27552
- Practice address
- 1250 La Venta
Suite 202
Westlake Village, CA 91361 - Phone
- (805) 496-5153
- Fax
- (805) 496-5202
- NPI assigned
- Jan 26, 2006
- Last updated
- Feb 3, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | G27552 | CA | Primary |
| Hematology (Internal Medicine) Physician | 207RH0000X | G27552 | CA |
Addresses
Primary practice location
1250 La Venta
Suite 202
Westlake Village, CA 91361
Mailing address
1250 La Venta
Suite 202
Westlake Village, CA 91361
Phone (805) 496-5153
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WG27552A | Other | CA | MEDICARE PTAN |
| G27552 | Other | CA | MEDICAL LICENSE |
Other names 1
- Michael Denis Masterson
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G27552 | CA | MD | Medical Oncology Physician |
| 27552 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Regents of the University of California | Current | Accepting new patients | |
| The Regents of the University of California | Current | Accepting new patients |
Locations
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
File 55737
Los Angeles, CA 90074
2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381
1250 La Venta Dr
Ste 202
Westlake Vlg, CA 91361
Phone (805) 496-5153
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba UCLA Dept of Medicine
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1235107566
-
dba UCLA Dept of Medicine
- Ambulatory Surgical Clinic/Center
- Valencia, CA
- NPI 1689200305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422921600000",
"number": "1649240052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 LA VENTA",
"address_2": "SUITE 202",
"city": "WESTLAKE VILLAGE",
"state": "CA",
"postal_code": "91361",
"telephone_number": "805-496-5153",
"fax_number": "805-496-5202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 LA VENTA",
"address_2": "SUITE 202",
"city": "WESTLAKE VILLAGE",
"state": "CA",
"postal_code": "91361",
"telephone_number": "805-496-5153",
"fax_number": "805-496-5202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASTERSON",
"first_name": "MICHAEL",
"middle_name": "DENIS",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-26",
"last_updated": "2015-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "CA",
"license": "G27552",
"primary": true
},
{
"code": "207RH0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology",
"state": "CA",
"license": "G27552",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "WG27552A",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "G27552",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHAEL",
"last_name": "MASTERSON",
"middle_name": "DENIS",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Westlake Village, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.