Individual provider Active NPI

Nazanin Maskan

  • Medical Physician Assistant
  • Hawthorne, CA
National Provider Identifier
1750195244
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA66855 Issued in CA
Practice address
14650 Aviation Blvd Ste 100
Hawthorne, CA 90250-6667
Phone
(323) 306-9632
Fax
(323) 268-6738
NPI assigned
Feb 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA66855 CA Primary

Addresses

Primary practice location

14650 Aviation Blvd Ste 100
Hawthorne, CA 90250-6667

Mailing address

14650 Aviation Blvd Ste 200
Hawthorne, CA 90250-6670
Phone (323) 306-9632

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250611002722 NY Practitioner - Physician Assistant 7517477128 Reassigns benefits to 2 organizations
I20251023001927 CA Practitioner - Physician Assistant 7517477128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
City University of New York School of Medicine, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14650 Aviation Blvd
Suite 200
Hawthorne, CA 90250-6665

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA66855CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Geoffrey Trenkle DO a Professional Medical Corporation CurrentSince Sep 8, 2025 Accepting new patients
Citrus Valley Medical Associates, Inc. PastSince Aug 2, 2021 Accepting new patients
Employee Medical Consultants PC Past Accepting new patients
Samir a Shah MD Professional Corporation Past Accepting new patients
Michael R. Gatto MD, Inc. PastSince Aug 1, 2007 Accepting new patients

Locations

488 E Santa Clara St
Ste 202
Arcadia, CA 91006

1820 Fullerton Ave
Ste 115
Corona, CA 92881
Phone (951) 817-5000

1577 E Chevy Chase Dr
Ste 330
Glendale, CA 91206
Phone (818) 553-8013

14650 Aviation Blvd
Ste 200
Hawthorne, CA 90250
Phone (310) 539-2300

14650 Aviation Blvd
Ste 100
Hawthorne, CA 90250
Phone (310) 725-8505

3268 E Gage Ave
Huntington Pk, CA 90255
Phone (323) 238-3324

103 S Locust St
Inglewood, CA 90301
Phone (310) 412-3277

1045 Atlantic Ave
Ste 505
Long Beach, CA 90813
Phone (562) 437-0996

1414 S Grand Ave
Ste 123
Los Angeles, CA 90015
Phone (213) 455-8448

1300 N Vermont Ave
Ste 605
Los Angeles, CA 90027
Phone (213) 662-8194

1700 E Cesar E Chavez Ave
Ste 2500
Los Angeles, CA 90033
Phone (323) 268-6731

3737 Martin Luther King Jr Blvd
#403
Lynwood, CA 90262

433 N 4th St
Ste 212
Montebello, CA 90640
Phone (323) 238-3324

18546 Roscoe Blvd
Ste 200
Northridge, CA 91324
Phone (818) 993-1112

1180 N Indian Canyon Dr
Ste E311
Palm Springs, CA 92262
Phone (760) 320-4136

41250 12th St W
Ste C
Palmdale, CA 93551
Phone (323) 268-6731

800 Fairmount Ave
Ste 411
Pasadena, CA 91105

124 E Olive Ave
Redlands, CA 92373
Phone (323) 328-8058

Organizations & group practices 7

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": "1738627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1750195244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14650 AVIATION BLVD STE 200",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902506670",
            "telephone_number": "323-306-9632",
            "fax_number": "323-268-6738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14650 AVIATION BLVD STE 100",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902506667",
            "telephone_number": "323-306-9632",
            "fax_number": "323-268-6738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASKAN",
        "first_name": "NAZANIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA66855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, CA

Sources for this page

Verify at the official NPI Registry.