Individual provider Active NPI

Masoud Malek, M.D.

  • Specialist
  • Beverly Hills, CA
National Provider Identifier
1699960633
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A038198 Issued in CA
Practice address
250 S la Cienega Blvd
# 204
Beverly Hills, CA 90211-3302
Phone
(323) 853-7896
Fax
(323) 282-5470
NPI assigned
Sep 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A038198 CA Primary

Addresses

Primary practice location

250 S la Cienega Blvd
# 204
Beverly Hills, CA 90211-3302

Mailing address

250 S la Cienega
# 204
Beverly Hills, CA 90211-3302
Phone (323) 853-7896

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210118000066 CA Practitioner - Plastic and Reconstructive Surgery 7214080456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

250 S la Cienega Blvd
Beverly Hills, CA 90211-3302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A038198CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Beverly Hills Surgical Center LLC PastSince Jan 12, 2009 Accepting new patients
Palm Surgical Center PastSince Jan 5, 2025 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1699960633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 S LA CIENEGA",
            "address_2": "# 204",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113302",
            "telephone_number": "323-853-7896",
            "fax_number": "323-282-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 S LA CIENEGA BLVD",
            "address_2": "# 204",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113302",
            "telephone_number": "323-853-7896",
            "fax_number": "323-282-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALEK",
        "first_name": "MASOUD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-12",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A038198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.