JOHN MASSOUD (NPI# 1598854531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598854531 |
| Entity Type | Individual |
| Full Name | JOHN MASSOUD |
| Credential | ATC, LMP, NCTM |
| Practice Address |
22471 Aspan St Suite 110 Lake Forest CA 92630-1642 |
| Mailing Address |
5 Hidden Creek Ln Laguna Hills CA 92653-4479 |
| Practice Telephone | 9495831797 |
| Practice Fax Number | 9495865701 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 225700000X | Massage Therapist | 500748-05 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| X | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699129023 | John M. Massoud | Family Medicine | 220 East Harris, San Angelo, TX 76903 | 2016-04-22 |
| 1477859312 | John Massoud | Dentist | 1670 Westwood Dr, Suite J, San Jose, CA 95125-5111 | 2011-02-09 |
| Street Address |
22471 ASPAN ST SUITE 110 |
| City | LAKE FOREST |
| State | CA |
| Zip Code | 92630-1642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033528682 | Atena Moussavi | Counselor | 22471 Aspan St, Lake Forest, CA 92630-1642 | 2014-08-07 |
| 1376978197 | Michael Chhann | Counselor | 22471 Aspan St, Suite 103, Lake Forest, CA 92630-1642 | 2013-09-11 |
| 1780946244 | Kate Smiley | Counselor | 22471 Aspan St, Suite 103, Lake Forest, CA 92630-1642 | 2012-06-11 |
| 1780903757 | Michael Ottiger | Counselor | 22471 Aspan St, Suite 103, Lake Forest, CA 92630-1642 | 2010-05-28 |
| 1750600839 | David Peter Golub | Counselor | 22471 Aspan St, Suite 103, Lake Forest, CA 92630-1642 | 2010-05-27 |
| 1427377647 | Robert Edward Mckasson Jr. | Counselor | 22471 Aspan St, Suite 103, Lake Forest, CA 92630-1642 | 2010-05-27 |
| 1639402183 | Elaine Yip | Counselor | 22471 Aspan St, Suite 103, Lake Forest, CA 92630-1644 | 2009-09-16 |
| 1447583430 | Total Care Chiropractic | Chiropractor | 22471 Aspan St, 108, Lake Forest, CA 92630-1644 | 2009-09-09 |
| 1265692628 | Hassan J. Afshar | Psychologist | 22471 Aspan St, Suite 103, Lake Forest, CA 92630-1642 | 2008-06-10 |
| 1790959666 | Sara Badrtalei | Counselor | 22471 Aspan St, Suite 103, Lake Forest, CA 92630-1642 | 2008-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194370338 | Ashlee Nicole-morton Sourapas | Midwife | 22672 Lambert Street, Suite 611, Lake Forest, CA 92630 | 2019-08-05 |
| 1134784879 | Scott Mach Enterprises | Custodial Care Facility | 23235 Cavanaugh Road, Lake Forest, CA 92630 | 2019-05-08 |
| 1992368930 | James Daniel Ticorat | Pharmacist | 25051 Calle Arenal, Lake Forest, CA 92630 | 2019-04-16 |
| 1770058349 | Tara L Anderson | Physician Assistant | 22365 El Toro Rd Unit 310, Lake Forest, CA 92630 | 2018-10-10 |
| 1659846855 | Song W. Jung. Dds. Inc | Dentist | 23361 El Toro Rd, Ste 105, Lake Forest, CA 92630 | 2018-10-04 |
| 1326520867 | Katherine Marie Billings | Speech-Language Pathologist | 25454 Navajo, Lake Forest, CA 92630 | 2018-08-31 |
| 1205339611 | Orange County Physiotherapy Services, P.C. | Physical Therapist | 22821 Aspan St., #100, Lake Forest, CA 92630 | 2018-03-12 |
| 1295245587 | Tara Rasta | Chiropractor | 22672 Lambert St Suite 620, Olsen Chiropractic, Lake Forest, CA 92630 | 2017-10-02 |
| 1750800132 | Jessica Aguilar | Marriage & Family Therapist | 21153 Calle De Paseo, Lake Forest, CA 92630 | 2017-09-16 |
| 1275072589 | Anhtu Wu | Pharmacist | 23182 Vista Way, Lake Forest, CA 92630 | 2017-02-20 |
| Find all providers in zip 92630 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063753945 | Linda A. Walker | Massage Therapist | 100 E Old Mill Rd, Lake Forest, IL 60045-3801 | 2013-03-02 |
| 1619174471 | Pandy M. Olmstead | Massage Therapist | 153 E Laurel Ave, #203, Lake Forest, IL 60045-5407 | 2007-06-27 |
| 1104431279 | Adil Panton | Massage Therapist | 22706 Aspan St Ste 504, Lake Forest, CA 92630-1603 | 2020-09-15 |
| 1902237571 | Veronica Zavala | Massage Therapist | 22691 Lambert St, Suite 507, Lake Forest, CA 92630-1614 | 2013-12-09 |
| 1437581709 | Lin Tao | Massage Therapist | 24531 Trabuco Rd Ste C, Lake Forest, CA 92630-2162 | 2013-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164265 | Gary L Johnson | Massage Therapist | 222 Columbus Ave Ste 220, San Francisco, CA 94133-4597 | 2020-11-08 |
| 1720689508 | Cebrina Dieli | Massage Therapist | 470 Forest Park Blvd., C-212, Oxnard, CA 93036 | 2020-11-06 |
| 1528669348 | Matthew P Martinez | Massage Therapist | 417 N Citrus Ave Apt 7, Escondido, CA 92027-2765 | 2020-11-06 |
| 1841891603 | Jenni Asher | Massage Therapist | 5425 1/2 Vantage Avenue, Valley Village, CA 91607 | 2020-11-06 |
| 1316548456 | Paulo Conceicao | Massage Therapist | 6559 Comly St, San Diego, CA 92111-5401 | 2020-11-05 |
| 1023619079 | Reanna Whitnall | Massage Therapist | 9950 Campo Rd Ste 204, Spring Valley, CA 91977-1629 | 2020-11-05 |
| 1073114252 | Briana Hill | Massage Therapist | 2203 San Remo Cir, Vista, CA 92084-7727 | 2020-11-04 |
| 1770184954 | Michelle Ann Moeller | Massage Therapist | 5648 Oak Grove Ave, Oakland, CA 94618-1243 | 2020-11-04 |
| 1013518315 | Mayulee Wilawanwelsh | Massage Therapist | 349 S Lafayette Pk Pl, Los Angeles, CA 90057 | 2020-11-03 |
| 1194326553 | Suzanne Romero | Massage Therapist | 411 Alvarado St Apt 201, Monterey, CA 93940-2710 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
| City | LAKE FOREST |
| Zip Code | 92630 |
Please comment or provide details below to improve the information on JOHN MASSOUD.
| 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.