Active NPI
Dale Roger Mascari, D.P,M.
- Podiatrist
- Los Angeles, CA
National Provider Identifier
1679787873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E1915
- Practice address
- 5636 N Figueroa St
Los Angeles, CA 90042-4102 - Phone
- (323) 255-1441
- Fax
- (323) 255-7277
- NPI assigned
- May 9, 2007
- Last updated
- Dec 17, 2007
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E1915 | CA | Primary |
Addresses
Primary practice location
5636 N Figueroa St
Los Angeles, CA 90042-4102
Mailing address
5636 N Figueroa St
Los Angeles, CA 90042-4102
Phone (323) 255-1441
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000E19151 | Medicaid | CA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E1915 | CA | MD | Podiatrist |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197849600000",
"number": "1679787873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5636 N FIGUEROA ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900424102",
"telephone_number": "323-255-1441",
"fax_number": "323-255-7277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5636 N FIGUEROA ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900424102",
"telephone_number": "323-255-1441",
"fax_number": "323-255-7277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASCARI",
"first_name": "DALE",
"middle_name": "ROGER",
"name_prefix": "Dr.",
"credential": "D.P,M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-09",
"last_updated": "2007-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E1915",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000E19151",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.