Masoud Afshar MD Inc

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

MASOUD AFSHAR MD INC

Practice address

220 N Imperial Ave
Imperial, CA 92251-1265

Phone

(442) 283-5049

Fax

(760) 344-7106

NPI assigned

Dec 31, 2020

Organization subpart

No

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

Authorized official

Name

Masoud Afshar, MDNPI 1225287378

Title

President

Phone

(442) 283-5049

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Masoud Afshar MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Masoud Afshar MD Inc

  • Urgent Care Clinic/Center
  • Imperial, CA
  • NPI 1750161907
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Masoud Afshar, M.D.

  • Nephrology Physician
  • Imperial, CA
  • NPI 1225287378
  Medicare reassignment NPD Authorized official
• Mayra Kytzya Casillas, NP

  • Family Nurse Practitioner
  • El Centro, CA
  • NPI 1851174494
  Medicare reassignment NPD
• Lizbeth Gianella Velazquez, DNP

  • Family Nurse Practitioner
  • El Centro, CA
  • NPI 1457014789
  Medicare reassignment NPD

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

{
    "created_epoch": "1609372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1801484241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N IMPERIAL AVE",
            "city": "IMPERIAL",
            "state": "CA",
            "postal_code": "922511265",
            "telephone_number": "442-283-5049",
            "fax_number": "760-344-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N IMPERIAL AVE",
            "city": "IMPERIAL",
            "state": "CA",
            "postal_code": "922511265",
            "telephone_number": "442-283-5049",
            "fax_number": "760-344-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASOUD AFSHAR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-31",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "AFSHAR",
        "authorized_official_first_name": "MASOUD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "442-283-5049",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Sanga Martin, NP
• Carlos Martinez Calderon, DDS
• Kameron Martinez
• Monica Romo Martinez
• Masoud Afshar MD Inc
• Angelina Lianne McDonald
• Pablo Alberto Mendoza
• Mercy Air Service, Inc.
• Mervat Kelada M D a Medical Corporation
• Mervat Kelada M.D. a Medical Corp

• Nephrology Physician in Imperial, CA
• Providers in Imperial, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.