Dr. Martina Barte Masongsong, M.D.

Family Medicine in Canyon Country, CA. Individual provider (NPI-1).

NPI number1962623652

StatusActive

Last updated in NPPESNov 10, 2022

Details

NPI: 1962623652
Entity type: Individual (NPI-1)
Name: Dr. Martina Barte Masongsong
Credential: M.D.
Sex: Female
Sole proprietor: No
Enumeration date: May 1, 2007
Certification date: Nov 10, 2022
Last updated: Nov 10, 2022

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - FAMILY PRACTICE
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	A70495	CA	Yes

Practice location

17909 Soledad Canyon Rd # 100
Canyon Country, CA 91387-3210

Phone 661-367-3500

Mailing address

19182 Dunure Pl
Northridge, CA 91326

Phone 818-368-2859

Other practice locations

23501 Cinema Dr Ste 100
Valencia, CA 91355-5429

Phone 661-367-9200

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Other Family Medicine Physician providers in Canyon Country, CA

All 9 Family Medicine Physician providers in Canyon Country · All 386 providers in Canyon Country

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