| Dr Abdul Samad Masoud, MD | |
| 
					555 W Compton Blvd Ste 104, Compton, CA 90220-3099  | |
| (310) 639-7200 | |
| (310) 639-0200 | 
| Full Name | Dr Abdul Samad Masoud | 
|---|---|
| Gender | Male | 
| Speciality | Family Medicine | 
| Location | 555 W Compton Blvd Ste 104, Compton, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1578633913 | NPI | - | NPPES | 
| ZZZ03316Z | Other | CA | BLUE SHEILD # | 
| 00A484040 | Medicaid | CA | |
| A48404 | Other | CA | MEDICAL LICENSE # | 
| P00121487 | Other | CA | CHAMPUS # | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | A48404 (California) | Primary | 
| Entity Name | Sunshine Medical Clinic Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1386721900 PECOS PAC ID: 6901073964 Enrollment ID: O20120117000325  | 
| Entity Name | Oc Health Medical Corporation | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1164278404 PECOS PAC ID: 7113460981 Enrollment ID: O20240620003984  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Abdul Samad Masoud, MD 555 W Compton Blvd Ste 104, Compton, CA 90220-3099 Ph: (310) 639-7200  | Dr Abdul Samad Masoud, MD 555 W Compton Blvd Ste 104, Compton, CA 90220-3099 Ph: (310) 639-7200  | 
Dr. David Andrew Guerrero, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2210 E Compton Blvd, Compton, CA 90221 Phone: 310-635-1853 Fax: 310-635-1854  | |
Fred Boyd Kyazze, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1410 W. Alondra Blvd., Suite C, Compton, CA 90220 Phone: 310-637-3680 Fax: 310-637-3679  | |
Dr. Samuel D. Benjamin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 121 S Long Beach Blvd, Compton, CA 90221 Phone: 310-627-5850 Fax: 323-726-0274  | |
Syed M Hossain, M.D. . Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1410 W Alondra Blvd Ste B, Compton, CA 90220 Phone: 310-933-8755 Fax: 310-933-8738  | |
Dr. Danny J Garcia, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 121 S Long Beach Blvd, Compton, CA 90221 Phone: 310-627-5850 Fax: 310-627-5855  | |
Dr. Douglas Egeonu Okpara, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 19301 S Santa Fe Ave, Suite 120, Compton, CA 90221 Phone: 310-631-5655 Fax: 310-631-3625  |