MALIA TANISHA MASON RAS-I NPI 1114168275

NPI Information

NPI: 1114168275
Provider Name: MALIA TANISHA MASON, RAS-I
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
637 E ALBERTONI ST
SUITE 200
CARSON, CA
ZIP 90746
Phone: (310) 217-0616
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Malia Tanisha Mason, RAS-I is an addiction (substance use disorder) counselor in Carson, CA. Malia Tanisha Mason, RAS-I NPI is 1114168275. 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:

637 E ALBERTONI ST
SUITE 200
CARSON, CA
ZIP 90746-539
Phone: (310) 217-0616
Fax: (310) 217-0545

The enumeration date for this NPI number is 3/18/2009 and was last updated on 3/18/2009.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)			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	197247	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: 11/14/2023

NPI Synchronization or Removal

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