Annastasia Masso

Key facts

NPI

1881374809

Entity type

Individual (NPI type 1)

Primary specialty

Certified Registered Nurse Anesthetist 367500000X

License

L6-0A10938 (DE)

Practice address

34800 Bob Wilson Dr
BLDG 1 FL 4 - Anesthesia
San Diego, CA 92134

Phone

(302) 345-7707

NPI assigned

Jul 24, 2023

Sex

Female

Sole proprietor

No

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.

• Regents of the University of Anesthesiology Physician · Orange, CA · NPI 1487602546
  Medicare reassignment Care Compare group NPD CA
• Samantha Polikowski Anesthesia Inc Certified Registered Nurse Anesthetist · Chula Vista, CA · NPI 1851157028
  Medicare reassignment Care Compare group NPD CA · NURSE ANESTHETIST, CERTIFIED REGISTERED
• San Gabriel Anesthesia Associates, PC Certified Registered Nurse Anesthetist · Santa Ana, CA · NPI 1538424908
  Medicare reassignment NPD CA · NURSE ANESTHETIST, CERTIFIED REGISTERED
• Temecula Ca Endoscopy ASC LP Anesthesiology Physician · Murrieta, CA · NPI 1285863696
  Medicare reassignment NPD CA
• Temecula Ca United Surgery Center, LP Ambulatory Surgical Clinic/Center · Temecula, CA · NPI 1275951196
  Medicare reassignment NPD CA
• Trinity Anesthesia Group Inc Anesthesiology Physician · Temecula, CA · NPI 1861078693
  Medicare reassignment NPD CA
• United Medical Doctors Gastroenterology Physician · Murrieta, CA · NPI 1770559981
  Medicare reassignment NPD CA · NURSE ANESTHETIST, CERTIFIED REGISTERED
• Heart of San Diego Surgical Center LLC Ambulatory Surgical Clinic/Center · San Diego, CA · NPI 1639815129
  NPD
• Temecula Ca Endoscopy ASC LP Ambulatory Surgical Clinic/Center · Murrieta, CA · NPI 1477527398
  NPD
• Temecula Ca United Surgery Center LP Anesthesiology Physician · Temecula, CA · NPI 1013376482
  NPD
• United Medical Doctors Orthopaedic Surgery Physician · San Diego, CA · NPI 1194554675
  NPD
• University of California Irvine Infusion Therapy Clinic/Center · Irvine, CA · NPI 1417027475
  NPD (past)

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• University of California Irvine Urgent Care Clinic/Center · Irvine, CA · NPI 1518739309
  Care Compare affiliation Hospital
• University of California Irvine General Acute Care Hospital · Orange, CA · NPI 1689608150
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Regents of the University of (236 clinicians)
Samantha Polikowski Anesthesia Inc (36 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uci Health-Orange Hospital · Orange, CA · CCN 050348

Medicare participation

Medicare fee-for-service enrollment

Enrolled in CA

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9170/brand/1/csg/1/fhir/r4

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 2, 2024.

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1881374809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 CENTRE ST UNIT 31",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033621",
            "telephone_number": "302-345-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34800 BOB WILSON DR",
            "address_2": "BLDG 1 FL 4 - ANESTHESIA",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92134",
            "telephone_number": "302-345-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSO",
        "first_name": "ANNASTASIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "DE",
            "license": "L6-0A10938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in San Diego, CA · Certified Registered Nurse Anesthetist in California