Active NPI
Ben Davis Massey III, PA
- Medical Physician Assistant
- Arcadia, CA
National Provider Identifier
1669982435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA17840
- Practice address
- 624 W Duarte Rd Ste 203
Arcadia, CA 91007-9262 - Phone
- (626) 446-8595
- Fax
- (626) 446-1031
- NPI assigned
- Oct 6, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA17840 | CA | Primary |
Addresses
Primary practice location
624 W Duarte Rd Ste 203
Arcadia, CA 91007-9262
Mailing address
624 W Duarte Rd Ste 203
Arcadia, CA 91007-9262
Phone (626) 446-8595
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA17840 | CA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507248000000",
"number": "1669982435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "624 W DUARTE RD STE 203",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910079262",
"telephone_number": "626-446-8595",
"fax_number": "626-446-1031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 W DUARTE RD STE 203",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910079262",
"telephone_number": "626-446-8595",
"fax_number": "626-446-1031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSEY",
"first_name": "BEN",
"middle_name": "DAVIS",
"name_suffix": "III",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-06",
"last_updated": "2017-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA17840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.