DR. ABDUL SAMAD MASOUD (NPI# 1578633913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578633913 |
| Entity Type | Individual |
| Full Name | DR. ABDUL SAMAD MASOUD |
| Credential | M.D. |
| Practice Address |
555 W Compton Blvd Ste 104 Compton CA 90220-3099 |
| Practice Telephone | 3106397200 |
| Practice Fax Number | 3106390200 |
| Mailing Telephone | 3106397200 |
| Mailing Fax Number | 3106390200 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A48404 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A484040 | 05 | |
| CA | CHAMPUS # | P00121487 | 01 |
| CA | BLUE SHEILD # | ZZZ03316Z | 01 |
| CA | MEDICAL LICENSE # | A48404 | 01 |
| Street Address |
555 W COMPTON BLVD STE 104 |
| City | COMPTON |
| State | CA |
| Zip Code | 90220-3099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386721900 | Sunshine Medical Clinic Inc | Internal Medicine | 555 W Compton Blvd Ste 104, Compton, CA 90220-3099 | 2006-11-01 |
| 1649751207 | Cassandra Mendoza | Psychologist | 555 W Compton Blvd Ste 104, Compton, CA 90220-3099 | 2018-08-22 |
| 1689744120 | Muhammad J Memon | Internal Medicine | 555 W Compton Blvd Ste 104, Compton, CA 90220-3099 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710490925 | Vivian Carolina Cariat | Interpreter | 2499 S. Wilmington Ave., Compton, CA 90220 | 2017-11-09 |
| 1366971632 | Bradlisia Dixon | Marriage & Family Therapist | 15116 S. Gibson Ave., East Rancho Dominguez, CA 90220 | 2017-06-08 |
| 1154701373 | Hilario Enrique Ramirez | Counselor | 901 W Victoria St Ste Fng, Compton, CA 90220 | 2015-06-03 |
| 1366841306 | Jessica Lisbet Diaz | Counselor | 901 W Victoria St. Suite F & G, Compton, CA 90220 | 2014-08-15 |
| 1134466709 | Compassion Care Center | Clinic/Center | 601 S. Arcacia Ave., Compton, CA 90220 | 2013-01-15 |
| 1881931905 | Compassion Care Center, Inc. | Clinic/Center | 900 W. Grenleaf Ave., Compton, CA 90220 | 2013-01-09 |
| 1699033902 | Crittenton Children Andfamily Services | Community/Behavioral Health | 2939 East Pacific Commerce Drive, Rancho Dominguez, CA 90220 | 2012-04-25 |
| 1285909226 | Talatu Peters Oyefeso | Physician Assistant | 701 S. Sante Fe Ave. #5194, Compton, CA 90220 | 2012-03-08 |
| 1881966307 | Nancy Urena | Counselor | 901 W. Victoria St Suite F & G, Compton, CA 90220 | 2012-01-30 |
| 1831470756 | Vanessa Guadalupe Sanchez | Case Manager/Care Coordinator | 1303 West Walnut Park Way, Compton, CA 90220 | 2011-09-06 |
| Find all providers in zip 90220 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174099782 | Alegria Family Medical Clinic | Family Medicine | 1315 N Bullis Rd Ste 6, Compton, CA 90221-1662 | 2018-10-22 |
| 1558883942 | Syed Hossain, M.d., Inc | Family Medicine | 1410 W Alondra Blvd # B, Compton, CA 90220-3533 | 2017-07-07 |
| 1801327630 | Edward Cardenas | Family Medicine | 135 E Compton Blvd, Compton, CA 90220-2410 | 2017-03-23 |
| 1467803510 | Joseph M Molina Md Professional Corporation- Southern California | Family Medicine | 1111 E Artesia Blvd, Compton, CA 90221-5314 | 2016-06-29 |
| 1316382807 | American Health Clinics | Family Medicine | 508 N Long Beach Blvd, Compton, CA 90221-2221 | 2013-05-09 |
| 1063625424 | Samuel D. Benjamin | Family Medicine | 121 S Long Beach Blvd, Compton, CA 90221-3423 | 2007-05-08 |
| 1023147717 | David Andrew Guerrero | Family Medicine | 2210 E Compton Blvd, Compton, CA 90221-3556 | 2007-03-05 |
| 1629111018 | Douglas Egeonu Okpara | Family Medicine | 19301 S Santa Fe Ave, Suite 120, Compton, CA 90221-5920 | 2007-02-15 |
| 1821002759 | Daniel Matemotja | Family Medicine | 711 East Rosecrans Avenue, Compton, CA 90221 | 2006-07-28 |
| 1033110861 | Fred Boyd Kyazze | Family Medicine | 1410 W. Alondra Blvd., Suite C, Compton, CA 90220-3533 | 2005-08-02 |
| Find all providers in COMPTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.