Jesse James Massarella, is a
Speech-language Pathologist based in Winnetka, California. Jesse James Massarella is licensed to practice in California (license number 33447) and his current practice location is
19837 Ingomar St, Winnetka, California. He can be reached at his office (for appointments etc.) via phone at
(818) 294-9994.
NPI number for Jesse James Massarella is 1104706498 and his current mailing address is 19837 Ingomar St, Winnetka, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104706498.
Healthcare Provider's Profile
Full Name | Jesse James Massarella |
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Gender | Male |
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Speciality | Speech-language Pathologist |
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Location | 19837 Ingomar St, Winnetka, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104706498
- Provider Enumeration Date: 09/05/2025
- Last Update Date: 09/05/2025
Medical Identifiers
Medical identifiers for Jesse James Massarella such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104706498 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 33447 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jesse James Massarella is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jesse James Massarella, 19837 Ingomar St, Winnetka, CA 91306-2617 Ph: (818) 294-9994 | Jesse James Massarella, 19837 Ingomar St, Winnetka, CA 91306-2617 Ph: (818) 294-9994 |
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