Active NPI
Grant Roger Masaoka, M.D.
- Specialist
- Anaheim, CA
National Provider Identifier
1780677120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G19094
- Practice address
- 1781 W Romneya Dr
Suite E
Anaheim, CA 92801-1818 - Phone
- (714) 774-0414
- Fax
- (714) 774-0494
- NPI assigned
- Aug 30, 2005
- Reactivated
- Mar 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G19094 | CA | Primary |
Addresses
Primary practice location
1781 W Romneya Dr
Suite E
Anaheim, CA 92801-1818
Mailing address
1781 W Romneya Dr
Suite E
Anaheim, CA 92801-1818
Phone (714) 774-0414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G190940 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J. Moucharrafie, MD, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1780677120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1781 W ROMNEYA DR",
"address_2": "SUITE E",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928011818",
"telephone_number": "714-774-0414",
"fax_number": "714-774-0494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1781 W ROMNEYA DR",
"address_2": "SUITE E",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928011818",
"telephone_number": "714-774-0414",
"fax_number": "714-774-0494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASAOKA",
"first_name": "GRANT",
"middle_name": "ROGER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-30",
"last_updated": "2026-07-13",
"deactivation_date": "2006-03-24",
"reactivation_date": "2006-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G19094",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G190940",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.