Individual provider Active NPI

Mairead Haruka Masuda, ND

  • Naturopath
  • San Diego, CA
National Provider Identifier
1801558978
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
ND1279 Issued in CA
Practice address
5174 Edgeware Rd
San Diego, CA 92116-2027
Phone
(508) 494-8919
NPI assigned
Oct 6, 2021
Last updated
Mar 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X ND1279 CA Primary
Naturopath 175F00000X

Addresses

Primary practice location

5174 Edgeware Rd
San Diego, CA 92116-2027

Mailing address

5174 Edgeware Rd
San Diego, CA 92116-2027
Phone (508) 494-8919

Other practice location 1

3333 Camino Del Rio S Ste 205
San Diego, CA 92108-3837
Phone (858) 609-0866

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.charmhealth.com/

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ND1279CAMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Carol Joy Bender, NP, a Nursing Corporation PastSince Nov 27, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mairead.masuda.1@9349.direct.athenahealth.com

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, 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": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1801558978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5174 EDGEWARE RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921162027",
            "telephone_number": "508-494-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5174 EDGEWARE RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921162027",
            "telephone_number": "508-494-8919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 Camino Del Rio S Ste 205",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921083837",
            "country_code": "US",
            "telephone_number": "858-609-0866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASUDA",
        "first_name": "MAIREAD",
        "middle_name": "HARUKA",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-06",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND1279",
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.charmhealth.com/",
            "affiliation": "N",
            "address_1": "5230 Carroll Canyon Rd Ste 330",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921211781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.