Individual provider Active NPI

Hiram Owen Brian Masayon, PT

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1740200237
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT29929 Issued in CA
Practice address
1663 Beverly Blvd
Suite 202
Los Angeles, CA 90026-5710
Phone
(213) 250-0078
Fax
(213) 250-5578
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT29929 CA Primary

Addresses

Primary practice location

1663 Beverly Blvd
Suite 202
Los Angeles, CA 90026-5710

Mailing address

6108 Hart Ave
Temple City, CA 91780-1628
Phone (626) 524-7579

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050715000792 CA Practitioner - Physical Therapist in Private Practice 2365478864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1663 Beverly Blvd
Suite 202
Los Angeles, CA 90026-5747
Phone (213) 250-0078

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT29929CAMDPhysical Therapist
29929CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PT RN Care Inc Physical Therapist CurrentSince Aug 1, 2005 Accepting new patients
Total Rehab & Medical Center, a Medical Corporation Past Accepting new patients
Claret Physical Therapy, Inc. Physical Therapist PastSince Jul 1, 2008 Accepting new patients

Locations

1663 Beverly Blvd
Ste 202
Los Angeles, CA 90026
Phone (213) 250-0078

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1740200237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6108 HART AVE",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917801628",
            "telephone_number": "626-524-7579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1663 BEVERLY BLVD",
            "address_2": "SUITE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900265710",
            "telephone_number": "213-250-0078",
            "fax_number": "213-250-5578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASAYON",
        "first_name": "HIRAM OWEN BRIAN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT29929",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.