Active NPI
Richard D. Masuoka, DMD
- Dentist
- Redondo Beach, CA
National Provider Identifier
1982801924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 34876
- Practice address
- 409 N Pacific Coast Hwy
Suite #210
Redondo Beach, CA 90277-2870 - Phone
- (310) 937-8070
- Fax
- (310) 937-8071
- NPI assigned
- Jul 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 34876 | CA | Primary |
Addresses
Primary practice location
409 N Pacific Coast Hwy
Suite #210
Redondo Beach, CA 90277-2870
Mailing address
409 N Pacific Coast Hwy
Suite #210
Redondo Beach, CA 90277-2870
Phone (310) 937-8070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982801924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 N PACIFIC COAST HWY",
"address_2": "SUITE #210",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902772870",
"telephone_number": "310-937-8070",
"fax_number": "310-937-8071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 N PACIFIC COAST HWY",
"address_2": "SUITE #210",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902772870",
"telephone_number": "310-937-8070",
"fax_number": "310-937-8071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASUOKA",
"first_name": "RICHARD",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "34876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redondo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.