Active NPI
Adriana Rosas Masi, DDS
- General Practice Dentistry
- Los Angeles, CA
National Provider Identifier
1922494517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 48329
- Practice address
- 1134 S Robertson Blvd Ste 2
Los Angeles, CA 90035-1404 - Phone
- (310) 550-5888
- NPI assigned
- Apr 9, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 48329 | CA | Primary |
Addresses
Primary practice location
1134 S Robertson Blvd Ste 2
Los Angeles, CA 90035-1404
Mailing address
8400 De Longpre Ave Apt 407
West Hollywood, CA 90069-2659
Phone (213) 548-0000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48329 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kodiak Area Native Association | Current | Accepting new patients | |
| Kodiak Area Native Association | Past | Accepting new patients | |
| Adriana R. Masi, D.D.S., Inc. | Past | Accepting new patients |
Locations
2414 Mill Bay Rd
Kodiak, AK 99615
Phone (907) 486-7326
3449 E Rezanof Dr
Kodiak, AK 99615
Phone (907) 486-9800
Organizations & group practices 3
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.
-
- Public Health Dentistry
- Los Angeles, CA
- NPI 1003895848
-
- Dental Clinic/Center
- Kodiak, AK
- NPI 1205883907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628640000000",
"number": "1922494517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8400 DE LONGPRE AVE APT 407",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900692659",
"telephone_number": "213-548-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1134 S ROBERTSON BLVD STE 2",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900351404",
"telephone_number": "310-550-5888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASI",
"first_name": "ADRIANA",
"middle_name": "ROSAS",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-09",
"last_updated": "2021-08-11",
"certification_date": "2021-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "48329",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.