Individual provider Active NPI

Corin Emmanuelle Massoud, FNP-C

  • Family Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1861818320
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95000255 Issued in CA
Practice address
201 29TH St Ste B
Sacramento, CA 95816-3288
Phone
(916) 325-1760
Fax
(408) 297-8256
NPI assigned
Mar 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95000255 CA Primary

Addresses

Primary practice location

201 29TH St Ste B
Sacramento, CA 95816-3288

Mailing address

1691 The Alameda
San Jose, CA 95126-2203
Phone (408) 795-3619

Other practice location 1

5700 Watt Ave
North Highlands, CA 95660-4752
Phone (916) 332-5715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190708000699 CA Practitioner - Nurse Practitioner 0143547562 Reassigns benefits to 1 organization
I20250711001504 NV Practitioner - Nurse Practitioner 0143547562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Planned Parenthood Mar Monte IncGroup PAC ID 1456248954, shared by 3 NPIs, 31 clinicians

Practice addresses (Care Compare)

201 29TH St
Sacramento, CA 95816-3288
Phone (916) 446-6921

2225 Civic Ctr Dr
Suite 230
North Las Vegas, NV 89030-6332
Phone (877) 855-7526

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Mar Monte, Inc. CurrentSince Jul 15, 2019 Accepting new patients
Planned Parenthood Mar Monte, Inc Current Accepting new patients
Planned Parenthood Mar Monte, Inc Current Accepting new patients
Planned Parenthood Mar Monte Inc Current Accepting new patients
Planned Parenthood Mar Monte, Inc CurrentSince Jul 15, 2019 Accepting new patients
Planned Parenthood Mar Monte, Inc Current Accepting new patients
Planned Parenthood Mar Monte, Inc Current Accepting new patients
Planned Parenthood Mar Monte, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Planned Parenthood Mar Monte, Inc Current Accepting new patients
Planned Parenthood Mar Monte, Inc Past Accepting new patients

Locations

5700 Watt Ave
North Highlands, CA 95660
Phone (916) 332-5715

201 29th St
Sacramento, CA 95816
Phone (916) 446-6921

201 29th St
Ste B
Sacramento, CA 95816
Phone (916) 446-6921

1691 The Alameda
San Jose, CA 95126
Phone (408) 287-7526

520 Cottonwood St
Ste 10
Woodland, CA 95695
Phone (530) 662-4646

2225 Civic Center Dr
Ste 230
North Las Vegas, NV 89030
Phone (408) 795-3600

Interoperability endpoints

  • Direct secure messaging: corin.massoudfnp.p1@direct.ppmarmonte.nextgenshare.com

Organizations & group practices 10

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": "1394150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1861818320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1691 THE ALAMEDA",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262203",
            "telephone_number": "408-795-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 29TH ST STE B",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958163288",
            "telephone_number": "916-325-1760",
            "fax_number": "408-297-8256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5700 Watt Ave",
            "address_purpose": "LOCATION",
            "city": "North Highlands",
            "state": "CA",
            "postal_code": "956604752",
            "country_code": "US",
            "telephone_number": "916-332-5715",
            "fax_number": "916-332-1849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASSOUD",
        "first_name": "CORIN",
        "middle_name": "EMMANUELLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-07",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95000255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.