DR. GRANT ROGER MASAOKA M.D. NPI 1780677120

NPI Information

  • NPI: 1780677120
  • Provider Name: DR. GRANT ROGER MASAOKA, M.D.
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • CLIA Number: 05D1012354
  • Address: 1781 W ROMNEYA DR
    SUITE E
    ANAHEIM, CA
    ZIP 92801
  • Phone: (714) 774-0414

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NPI Details

DR. Grant Roger Masaoka, M.D. is a specialist in Anaheim, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Grant Roger Masaoka, M.D. NPI is 1780677120. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1781 W ROMNEYA DR
SUITE E
ANAHEIM, CA
ZIP 92801-818
Phone: (714) 774-0414
Fax: (714) 774-0494

The CLIA number assigned to this NPI record is 05D1012354 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/30/2005 and was last updated on 7/9/2007.

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
1174400000XSpecialistG19094CALIFORNIAYes

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
100G190940MEDICAIDCALIFORNIA
2H18039MEDICARE UPINCALIFORNIA

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: 11/21/2025

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