Active NPI
Dane Masuda, PA-C
- Physician Assistant
- Portsmouth, VA
National Provider Identifier
1841606829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 017639
- Practice address
- Naval Medical Center Portsmouth
620 John Paul Jones Circle
Portsmouth, VA 23708 - Phone
- (757) 953-8861
- NPI assigned
- Jul 10, 2014
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 017639 | NY | Primary |
Addresses
Primary practice location
Naval Medical Center Portsmouth
620 John Paul Jones Circle
Portsmouth, VA 23708
Mailing address
Nmrtu Navsta Norfolk
1721 Admiral Taussig Blvd
Norfolk, VA 23511
Phone (757) 953-9006
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738022400000",
"number": "1841606829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "NMRTU NAVSTA NORFOLK",
"address_2": "1721 ADMIRAL TAUSSIG BLVD",
"city": "NORFOLK",
"state": "VA",
"postal_code": "23511",
"telephone_number": "757-953-9006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NAVAL MEDICAL CENTER PORTSMOUTH",
"address_2": "620 JOHN PAUL JONES CIRCLE",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "23708",
"telephone_number": "757-953-8861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASUDA",
"first_name": "DANE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-10",
"last_updated": "2025-01-28",
"certification_date": "2025-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "017639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.