Active NPI
Massoud Nemazee
- Dentist
- Santa-Monica, CA
National Provider Identifier
1649339987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 46116
- Practice address
- 757 Ocean Ave #307
Santa-Monica, CA 90402 - Phone
- (310) 433-5245
- NPI assigned
- Dec 6, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 46116 | CA | Primary |
Addresses
Primary practice location
757 Ocean Ave #307
Santa-Monica, CA 90402
Mailing address
757 Ocean Ave Unit 307
7522 Pacific Blvd #B
Santa Monica, CA 90402-2655
Phone (310) 433-5245
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 |
|---|---|---|---|
| 46116 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649339987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "757 OCEAN AVE UNIT 307",
"address_2": "7522 PACIFIC BLVD #B",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904022655",
"telephone_number": "310-433-5245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "757 OCEAN AVE #307",
"city": "SANTA-MONICA",
"state": "CA",
"postal_code": "90402",
"telephone_number": "310-433-5245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEMAZEE",
"first_name": "MASSOUD",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "46116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa-Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.