Individual provider Active NPI

Shahryar Masouem, M.D.

  • Obstetrics & Gynecology Physician
  • Irvine, CA
National Provider Identifier
1811166655
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A101561 Issued in CA
Practice address
4790 Irvine Blvd Ste 105-337
Irvine, CA 92620-1973
Phone
(714) 512-2440
Fax
(949) 264-8221
NPI assigned
Feb 26, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2026-02749 NC
Obstetrics & Gynecology Physician 207V00000X A101561 CA Primary

Addresses

Primary practice location

4790 Irvine Blvd Ste 105-337
Irvine, CA 92620-1973

Mailing address

4790 Irvine Blvd Ste 105-337
Irvine, CA 92620-1973
Phone (714) 512-2440

Other practice location 1

129 Greenwich Rd
Charlotte, NC 28211-2313
Phone (704) 266-6454

Other identifiers 1

IdentifierTypeStateIssuer
1811166655MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080327000455 CA Practitioner - Obstetrics/Gynecology 8921184144 Reassigns benefits to 2 organizations
I20250917000973 TX Practitioner - Obstetrics/Gynecology 8921184144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Magella Medical Group IncGroup PAC ID 7214827591, 23 clinicians

Practice addresses (Care Compare)

17100 Euclid St
Fountain Valley, CA 92708-4004
Phone 80024338397746

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A101561CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group CurrentSince Sep 16, 2016 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Sep 16, 2016 Accepting new patients
Ouma Health Professional Limited Liability Company CurrentSince Jul 7, 2025 Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
Dignity Health Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Providence Health System Southern California Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Dameron Hospital Association Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

24451 Health Center Dr
Laguna Hills, CA 92653
Phone (949) 452-3573

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

3501 S Harbor Blvd
Santa Ana, CA 92704
Phone (714) 784-1658

4101 Torrance Blvd
Torrance, CA 90503
Phone (310) 540-7676

3267 Bee Caves Rd
Austin, TX 78746
Phone (410) 814-1872

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: shahryarmasouem@hcpca.allscriptsdirect.net
  • Direct secure messaging: smasouem37008@altamed.direct-ci.com

Organizations & group practices 12

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": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1811166655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4790 IRVINE BLVD STE 105-337",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926201973",
            "telephone_number": "714-512-2440",
            "fax_number": "949-264-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4790 IRVINE BLVD STE 105-337",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926201973",
            "telephone_number": "714-512-2440",
            "fax_number": "949-264-8221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "129 Greenwich Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282112313",
            "country_code": "US",
            "telephone_number": "704-266-6454",
            "fax_number": "618-360-7524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASOUEM",
        "first_name": "SHAHRYAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-26",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2026-02749",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A101561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811166655",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.