Masseray Bangura, PA
Individual provider Active NPI Physician Assistant · South Gate, CA
NPI 1689213639 · NPPES record last updated Dec 21, 2019
Key facts
- NPI
- 1689213639
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 5158 Wood Ave
South Gate, CA 90280-5236 - Phone
- (928) 575-6995
- NPI assigned
- Dec 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Physician Assistant
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | CA | Yes |
Addresses
Primary practice location
5158 Wood Ave
South Gate, CA 90280-5236
Mailing address
5158 Wood Ave
South Gate, CA 90280-5236
Other providers in South Gate, CA
- Narciso Azurin
- Robert Anthony Azurin
- Sharon Bakshi
- Darlene Ballesteros
- Maria V Banda
- Stephanie Galilea Banuelos Chavez
- Carlos Alberto Barajas Jr.
- Leslie Barboza Navarrete
- Ovidiu C Barbu
- Jasmine Barillas
All providers in South Gate, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.