Active NPI
Ralph A Massey, MD
- MOHS-Micrographic Surgery Physician
- Santa Monica, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- A52535
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6380638 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Micrographic Dermatologic Surgery (MDS)
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 136 |
| Removal of skin lesions | 737 |
| Removal of skin cancer | 522 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 253 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A52535 | CA | MD | Procedural Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parham Tabibian MD Inc | Dermatology | Current | Accepting new patients |
| Cosmetic Surgery Center of Santa Monica a Medical Corp | Current | 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
- rmassey42955@direct.uclahealth.org
- 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.
-
- Dermatology Physician
- Los Alamitos, CA
- NPI 1427114032
-
- MOHS-Micrographic Surgery Physician
- Santa Monica, CA
- NPI 1174700702
-
- Ambulatory Surgical Clinic/Center
- Santa Monica, CA
- NPI 1033229323
-
- Dermatology Physician
- Encinitas, CA
- NPI 1427135458
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1124026273
-
- Dermatology Physician
- Encinitas, CA
- NPI 1730266743
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1982849105
-
- Specialist
- Brooklyn, NY
- NPI 1710127675
-
- Dermatology Physician
- Woodside, NY
- NPI 1962682666
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Northridge, CA
- NPI 1972672996
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.