The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Residential Treatment Facility, Intellectual and/or Developmental Disabilities Primary Specialty

NUCC Taxonomy Code: 320600000X

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.

Look Up on State Board Site

Secondary Practice Locations

3501 N 30th Ter

Hollywood, FL 330212602

Phone: 7862677362

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events

✅

NPI Profile Active August 24, 2018

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) August 24, 2018

Registered at 3501 N 30TH TER, HOLLYWOOD, FL 330212602 (Tel: 7862677362)

📍

Business Mailing Address (Initial Record) August 24, 2018

Registered at 3501 N 30TH TER, HOLLYWOOD, FL 330212602 (Tel: 7862677362)

🏢

Secondary Practice Location Registered August 24, 2018

Additional practice office at 3501 N 30th Ter, Hollywood, FL 330212602

👤

Provider Name / Credentials (Initial Record) August 24, 2018

Recorded as DAVID MASEDA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2018

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

🟢

Initial NPI Registration & Enumeration August 24, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1962983288

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 24, 2018

Last Update: August 24, 2018

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

3501 N 30th Ter

Hollywood, FL 330212602

Phone: 7862677362

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.