Individual provider Active NPI

Maurice Roy Masliah, D.P.M.

  • Podiatrist
  • Encino, CA
National Provider Identifier
1710085964
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E1951 Issued in CA
Practice address
5400 Balboa Blvd
Suite 225
Encino, CA 91316-1502
Phone
(818) 981-3344
Fax
(818) 981-4777
NPI assigned
Sep 20, 2006
Last updated
Sep 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E1951 CA Primary

Addresses

Primary practice location

5400 Balboa Blvd
Suite 225
Encino, CA 91316-1502

Mailing address

5400 Balboa Blvd
Suite 225
Encino, CA 91316-1502
Phone (818) 981-3344

Other identifiers 3

IdentifierTypeStateIssuer
1710085964OtherCADMEPOS
E1951OtherCASTATE LICENSE
954528399OtherTAX ID

Other names 1

  • Dr. Maurice Roy Masliah Professional name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address drmauricemasliah@direct.practicefusion.com Health Information Exchange (HIE)
Direct Messaging Address drmauricemasliah@direct.practicefusion.com Health Information Exchange (HIE)

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040121000445 CA Practitioner - Podiatry 6608778766 Practice locations: Encino, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E1951CAMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1710085964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 BALBOA BLVD",
            "address_2": "SUITE 225",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161502",
            "telephone_number": "818-981-3344",
            "fax_number": "818-981-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 BALBOA BLVD",
            "address_2": "SUITE 225",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161502",
            "telephone_number": "818-981-3344",
            "fax_number": "818-981-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASLIAH",
        "first_name": "MAURICE",
        "middle_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E1951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMEPOS",
            "identifier": "1710085964",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "E1951",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "954528399",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drmauricemasliah@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "doctor to doctor messaging regarding patient information",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5400 Balboa Blvd",
            "address_2": "suite 225",
            "city": "Encino",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913161502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drmauricemasliah@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "EHR system",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5400 Balboa Blvd",
            "address_2": "suite 225",
            "city": "Encino",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913161502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MAURICE",
            "last_name": "MASLIAH",
            "middle_name": "ROY",
            "prefix": "DR.",
            "credential": "D.P.M.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.