Organization Active NPI

B. David Massaband DPM Inc

  • Foot & Ankle Surgery Podiatrist
  • Los Angeles, CA
National Provider Identifier
1992859359
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E3989 Issued in CA
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

Updated by the provider on Nov 1, 2011

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.NPI 1760481741
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)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
000E39892MedicaidCA

Other names 1

  • TOWER PODIATRY-THE FOOT AND ANKLE SURGICAL INSTITUTE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070125000502 CA Part B Supplier - Clinic/Group Practice 6103827688 Receives reassigned benefits from 4 practitioners
Practice locations: Encino, CA; Los Angeles, CA; Marina del Rey, CA
O20100930043156 CA DME Supplier - Physician - Podiatry 6103827688 Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory
Tax ID family
B David Massaband DPM Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.