Active NPI
B. David Massaband DPM Inc
- Foot & Ankle Surgery Podiatrist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E3989
- Legal business name
- B. DAVID MASSABAND DPM INC
- Practice address
- 8631 W 3Rd St
Suite 940-E
Los Angeles, CA 90048-5901 - Phone
- (310) 657-2828
- Fax
- (310) 657-9733
- NPI assigned
- Jan 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Behnam David Massaband, D.P.M.
- Title
- Ceo
- Phone
- (310) 657-2828
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E3989 | CA | Primary |
Addresses
Primary practice location
8631 W 3Rd St
Suite 940-E
Los Angeles, CA 90048-5901
Mailing address
8631 W 3Rd St
Suite 940-E
Los Angeles, CA 90048-5901
Phone (310) 657-2828
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000E39892 | Medicaid | CA |
Other names 1
- TOWER PODIATRY-THE FOOT AND ANKLE SURGICAL INSTITUTE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
National Provider Directory
National Provider Directory- Tax ID family
- B David Massaband DPM Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Foot & Ankle Surgery Podiatrist
- Los Angeles, CA
- NPI 1558472639
-
- Foot & Ankle Surgery Podiatrist
- Encino, CA
- NPI 1770687048
Locations
16661 Ventura Blvd
Ste 705
Encino, CA 91436
Phone (310) 613-9392
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Los Angeles, CA
- NPI 1760481741
-
- Foot & Ankle Surgery Podiatrist
- Los Angeles, CA
- NPI 1609055094
-
- Foot & Ankle Surgery Podiatrist
- Los Angeles, CA
- NPI 1073208039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320105600000",
"number": "1992859359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8631 W 3RD ST",
"address_2": "SUITE 940-E",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485901",
"telephone_number": "310-657-2828",
"fax_number": "310-657-9733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8631 W 3RD ST",
"address_2": "SUITE 940-E",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485901",
"telephone_number": "310-657-2828",
"fax_number": "310-657-9733"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "B. DAVID MASSABAND DPM INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-23",
"last_updated": "2011-11-01",
"status": "A",
"authorized_official_last_name": "MASSABAND",
"authorized_official_first_name": "BEHNAM",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "310-657-2828",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E3989",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000E39892",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "TOWER PODIATRY-THE FOOT AND ANKLE SURGICAL INSTITUTE",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Nov 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.