Individual provider Active NPI

Bobby Massoudian, MD

  • Emergency Medicine Physician
  • Long Beach, CA
National Provider Identifier
1891734349
Registry record updated Nov 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A80797 Issued in CA
Practice address
2801 Atlantic Ave
Long Beach, CA 90806-1737
Phone
(562) 933-2000
Fax
(818) 587-2493
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A80797 CA Primary

Addresses

Primary practice location

2801 Atlantic Ave
Long Beach, CA 90806-1737

Mailing address

PO Box 1490
Long Beach, CA 90801-1490
Phone (888) 237-1803

Other identifiers 3

IdentifierTypeStateIssuer
00A807970MedicaidCA
P00239433OtherCARAILROAD MEDICARE
00A807970OtherCABLUE SHIELD

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
I20040713000607 CA Practitioner - Emergency Medicine 2567440795 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of California, Geffen School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Columbia Emergency Medical Group IncGroup PAC ID 2668376500, 38 clinicians
ContinuemGroup PAC ID 7911302955, 13 clinicians

Practice addresses (Care Compare)

2801 Atlantic Ave
Long Beach, CA 90806-1701
Phone (310) 933-2000

6430 S St
Lakewood, CA 90713-1713
Phone (562) 731-3990

Hospital & facility affiliations

  • Memorialcare Long Beach Medical Center Hospital, Long Beach, CA, CCN 050485

Merit-based Incentive Payment System (MIPS)

Final score
96.51 of 100Reported as group
Quality
87.09
Improvement activities
40
Cost
78.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Jun 14, 2010 Accepting new patients
Continuem CurrentSince Nov 9, 2021 Accepting new patients
Continuem CurrentSince Aug 17, 2021 Accepting new patients
County of Los Angeles CurrentSince Jun 14, 2010 Accepting new patients
Columbia Emergency Medical Group Inc Emergency Medicine CurrentSince Jun 16, 2004 Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

6430 South St
Lakewood, CA 90713
Phone (310) 210-8895

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

1720 Termino Ave
Long Beach, CA 90804
Phone (562) 494-0631

1000 W Carson St
Torrance, CA 90502
Phone (310) 222-3501

Interoperability endpoints

  • Direct secure messaging: bmassoudianmd18083@direct.memorialcare.org
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10665844
  • Direct secure messaging: bobbymassoudian@cem.allscriptsdirect.net

Organizations & group practices 5

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479859200000",
    "number": "1891734349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1490",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908011490",
            "telephone_number": "888-237-1803",
            "fax_number": "818-587-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 ATLANTIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061737",
            "telephone_number": "562-933-2000",
            "fax_number": "818-587-2493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSOUDIAN",
        "first_name": "BOBBY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2016-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A80797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A807970",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00239433",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A807970",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.