Active NPI
Bobby Massoudian, MD
- Emergency Medicine Physician
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A80797
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A807970 | Medicaid | CA | |
| P00239433 | Other | CA | RAILROAD MEDICARE |
| 00A807970 | Other | CA | BLUE 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
Enrollment records 1
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.51 of 100
- Quality
- 87.09
- Improvement activities
- 40
- Cost
- 78.7
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Los Angeles | Current | Accepting new patients | |
| Continuem | Current | Accepting new patients | |
| Continuem | Current | Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients | |
| Columbia Emergency Medical Group Inc | Emergency Medicine | Current | 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
- bmassoudianmd18083@direct.memorialcare.org
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10665844
- 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.
-
- Emergency Medicine Physician
- Long Beach, CA
- NPI 1871551119
-
- Urgent Care Clinic/Center
- Lakewood, CA
- NPI 1336716489
-
- General Acute Care Hospital
- Torrance, CA
- NPI 1851363188
-
- Urgent Care Clinic/Center
- Lakewood, CA
- NPI 1578228987
-
- Clinic/Center
- Los Angeles, CA
- NPI 1295407401
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Long Beach, CA
- NPI 1962442012
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; 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.