Samuel Masket, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

207W00000X Issued in CA

Practice address

2080 Century Park East
Suite # 911
Los Angeles, CA 90067-2012

Phone

(310) 229-1220

Fax

(310) 229-1222

NPI assigned

Jul 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2013 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Masket Foundation Clinic for Eye Care

  • Ophthalmology Physician
  • Los Angeles, CA
  • NPI 1386132744
  NPD Authorized official
• Advanced Vision Care a California General Partnership

  • Ophthalmology Physician
  • Los Angeles, CA
  • NPI 1073816070
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404691200000",
    "number": "1750303111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK EAST",
            "address_2": "SUITE # 911",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672012",
            "telephone_number": "310-229-1220",
            "fax_number": "310-229-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK EAST",
            "address_2": "SUITE # 911",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672012",
            "telephone_number": "310-229-1220",
            "fax_number": "310-229-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASKET",
        "first_name": "SAMUEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2014-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "207W00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Masjedi
• Alyssa Ann Maskell, AGPCNP-BC
• Aarti C. Maskeri, MD
• Masket Foundation Clinic for Eye Care
• Kristin Ann Masket, PHYSICAL THERAPIST
• Anna Avital Maslan
• David Asher Maslan
• Maurice K Masliah, DDS
• Nicole Angela Masnada, D.O.
• Susana Faatali Masoe

• Specialist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.