ROXANNE MASSERAT NP-C NPI 1063015295

NPI Information

NPI: 1063015295
Provider Name: ROXANNE MASSERAT, NP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
10921 WILSHIRE BLVD STE 411
LOS ANGELES, CA
ZIP 90024
Phone: (310) 208-3531
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Roxanne Masserat, NP-C is a family nurse practitioner in Los Angeles, CA. Roxanne Masserat, NP-C NPI is 1063015295. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10921 WILSHIRE BLVD STE 411
LOS ANGELES, CA
ZIP 90024-001
Phone: (310) 208-3531

The enumeration date for this NPI number is 11/19/2020 and was last updated on 12/15/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	95015877	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NA	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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