Individual provider Active NPI

Adriana Rosas Masi, DDS

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1922494517
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
48329 Issued in CA
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

Updated by the provider on Aug 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231129001838 TX Practitioner - Dentist 6507172897 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
48329CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kodiak Area Native Association CurrentSince Oct 7, 2023 Accepting new patients
Kodiak Area Native Association PastSince Oct 7, 2023 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.

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

Verify at the official NPI Registry.