Individual provider Active NPI

Ralph A Massey, MD

  • MOHS-Micrographic Surgery Physician
  • Santa Monica, CA
National Provider Identifier
1891700332
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
A52535 Issued in CA
Practice address
1260 15TH St
Ste 1401
Santa Monica, CA 90404
Phone
(310) 434-2495
Fax
(310) 434-2497
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A52535 CA
MOHS-Micrographic Surgery Physician 207ND0101X A52535 CA Primary
Procedural Dermatology Physician 207NS0135X A52535 CA

Addresses

Primary practice location

1260 15TH St
Ste 1401
Santa Monica, CA 90404

Mailing address

1260 15TH St
Ste 1401
Santa Monica, CA 90404
Phone (310) 434-2495

Other identifiers 1

IdentifierTypeStateIssuer
6380638MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050321000407 CA Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 1850346073 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parham Tabibian MD IncGroup PAC ID 9739284704, 9 clinicians

Practice addresses (Care Compare)

1260 15TH St
Suite 1401
Santa Monica, CA 90404-1106

3851 Katella Ave
Suite 105
Los Alamitos, CA 90720-3389

Hospital & facility affiliations

  • Calipso Home Health Care Inc Home health agency, Northridge, CA, CCN 058392

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision136
Removal of skin lesions737
Removal of skin cancer522
Removal or shaving of skin growth1-10
Skin biopsy253

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A52535CAMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parham Tabibian MD Inc Dermatology CurrentSince Feb 3, 2022 Accepting new patients
Cosmetic Surgery Center of Santa Monica a Medical Corp CurrentSince Oct 1, 2002 Accepting new patients
Stacy D. Tompkins, M.D., Inc. Dermatology Past Accepting new patients
North Coast Dermatology Medical Associates Dermatology Past Accepting new patients
The Regents of the University of California Past Accepting new patients
Bruce E. Katz, MD, PC Dermatology Past Accepting new patients
Bruce E. Katz, MD, PC Past Accepting new patients
Providence Saint John'S Health Center Past Accepting new patients

Locations

30300 Agoura Rd
Ste 200
Agoura Hills, CA 91301
Phone (818) 706-3744

3851 Katella Ave
Ste 105
Los Alamitos, CA 90720
Phone (562) 799-3330

1260 15th St
Ste 1401
Santa Monica, CA 90404
Phone (310) 434-2495

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rmassey42955@direct.uclahealth.org
  • Direct secure messaging: drralphmassey@massey194.powersoftmdsecure.com

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1891700332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 15TH ST",
            "address_2": "STE 1401",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90404",
            "telephone_number": "310-434-2495",
            "fax_number": "310-434-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 15TH ST",
            "address_2": "STE 1401",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90404",
            "telephone_number": "310-434-2495",
            "fax_number": "310-434-2497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSEY",
        "first_name": "RALPH",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A52535",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A52535",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "A52535",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6380638",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.