Individual provider Active NPI

Allen Massihi, DPM

  • Foot & Ankle Surgery Podiatrist
  • Glendale, CA
National Provider Identifier
1780606764
Registry record updated Jan 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4353 Issued in CA
Practice address
311 N Verdugo Rd
Glendale, CA 91206-3944
Phone
(818) 409-9912
Fax
(818) 553-1720
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E4353 CA Primary

Addresses

Primary practice location

311 N Verdugo Rd
Glendale, CA 91206-3944

Mailing address

4058 Woodcliff Rd
Sherman Oaks, CA 91403-4334
Phone (818) 748-7319

Other identifiers 1

IdentifierTypeStateIssuer
000E43531MedicaidCA

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
I20040113000754 CA Practitioner - Podiatry 3870493869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

311 N Verdugo Rd
Glendale, CA 91206-3944
Phone (818) 409-9912

Hospital & facility affiliations

  • Glendale Adventist Medical Center Hospital, Glendale, CA, CCN 050239

Merit-based Incentive Payment System (MIPS)

Final score
81.03 of 100Reported as individual
Quality
59.37
Promoting interoperability
81
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue164
Removal of skin lesions13
Removal of nail tissue1392
Removal or shaving of skin growth1010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E4353CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Allen Massihi, Podiatric Inc. Foot & Ankle Surgery CurrentSince Aug 1, 2003 Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients

Locations

311 N Verdugo Rd
Glendale, CA 91206
Phone (818) 247-1331

5250 Santa Monica Blvd
Ste 310
Los Angeles, CA 90029
Phone (323) 204-7113

201 Hartnell Ave
Redding, CA 96002
Phone (530) 212-0073

425 W Bonita Ave
Ste 1
San Dimas, CA 91773

7709 Foothill Blvd
Tujunga, CA 91042
Phone (818) 352-3146

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22761/brand/1/csg/1/fhir/r4
  • Direct secure messaging: allen.massihi.1@22761.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390348800000",
    "number": "1780606764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4058 WOODCLIFF RD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914034334",
            "telephone_number": "818-748-7319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N VERDUGO RD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912063944",
            "telephone_number": "818-409-9912",
            "fax_number": "818-553-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSIHI",
        "first_name": "ALLEN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2014-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E43531",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.