Massoud H. Agahi, M.D. Inc.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

G75832 Issued in CA

Legal business name

MASSOUD H. AGAHI, M.D. INC.

Practice address

8635 W 3Rd St
Suite 865-W
Los Angeles, CA 90048-6101

Phone

(310) 657-8237

Fax

(310) 659-2937

NPI assigned

Jun 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Massoud H Agahi, MDNPI 1952367070

Title

Medical Director

Phone

(310) 657-8237

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

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

• Massoud H. Agahi, M.D.

  • Vascular Surgery Physician
  • Beverly Hills, CA
  • NPI 1952367070
  Medicare reassignment NPD Authorized official
• Siamak Barkhordarian, M.D.

  • Vascular Surgery Physician
  • Los Angeles, CA
  • NPI 1760564702
  NPD (past)

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1821292368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8635 W 3RD ST",
            "address_2": "SUITE 865-W",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900486101",
            "telephone_number": "310-657-8237",
            "fax_number": "310-659-2937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8635 W 3RD ST",
            "address_2": "SUITE 865-W",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900486101",
            "telephone_number": "310-657-8237",
            "fax_number": "310-659-2937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSOUD H. AGAHI, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "AGAHI",
        "authorized_official_first_name": "MASSOUD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-657-8237",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "G75832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G758320",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stanley Massey
• Steven Dwight Massey
• Donnatella Masson
• Sujay Masson
• Frederic Massoua
• Roxanne Massoumi
• Macie L Mastali
• Donna Lynn Masterman, MD
• Masters Compounding Pharmacy, Inc.
• Lauretta Alison Masters, NP-C

• Vascular Surgery Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.