Active NPI
Massen Medical Inc.
- Clinic/Center
- Hayward, CA
National Provider Identifier
1669533642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 00A527260
- Legal business name
- MASSEN MEDICAL INC.
- Doing business as
- MASSEN MEDICAL INC.
- Practice address
- 19682 Hesperian Blvd
Ste 101a
Hayward, CA 94541-4752 - Phone
- (510) 783-0536
- Fax
- (510) 315-1103
- NPI assigned
- Dec 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Arkady Massen, M.D.
- Title
- Medical Doctor
- Phone
- (510) 783-0536
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 00A527260 | CA | Primary |
Addresses
Primary practice location
19682 Hesperian Blvd
Ste 101a
Hayward, CA 94541-4752
Mailing address
19682 Hesperian Blvd Ste 101a
Hayward, CA 94541-4752
Phone (510) 783-0536
Other names 1
- MASSEN MEDICAL INC.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1387324800000",
"number": "1669533642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19682 HESPERIAN BLVD STE 101A",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945414752",
"telephone_number": "510-783-0536",
"fax_number": "510-315-1103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19682 HESPERIAN BLVD",
"address_2": "STE 101A",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945414752",
"telephone_number": "510-783-0536",
"fax_number": "510-315-1103"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MASSEN MEDICAL INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-13",
"last_updated": "2013-12-18",
"status": "A",
"authorized_official_last_name": "MASSEN",
"authorized_official_first_name": "ARKADY",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "510-783-0536",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "CA",
"license": "00A527260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MASSEN MEDICAL INC.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.