DR. NIMA SAYED MASSOOMI DMD, MED, MD
NPI 1346397221
Oral & Maxillofacial Surgery in Cupertino, CA

Active since January 04, 2007Opted out of Medicare · through Mar 28, 2028
10393 TORRE AVE STE L, CUPERTINO, CA 95014(408) 253-6084(408) 253-5125 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 7, 2024, Jul 28, 2024, Apr 5, 2023 (3 updates tracked since 2023).

About Dr. Nima Sayed Massoomi Dmd, Med, Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NIMA SAYED MASSOOMI DMD, MED, MD (NPI 1346397221) is an individual oral & maxillofacial surgery provider in Cupertino, California, licensed in California (A103713) and active in the NPI registry since January 2007. He has opted out of Medicare through March 28, 2028 and remains eligible to order and refer and maintains a secondary practice location in Los Gatos.

NPPES Registry Identity

NPI1346397221
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. NIMA SAYED MASSOOMICredential: DMD, MED, MD
Location Address10393 TORRE AVE STE LCupertino, CA 95014-3235
Mailing Address10393 Torre Ave Ste L, Silicon Valley Surgical Arts Inc.Cupertino, CA 95014-3235 · (408) 253-6081 · Fax (408) 253-5125
Fax(408) 253-5125
Sole ProprietorYes
Enumeration DateJanuary 4, 2007
Last NPPES UpdateAugust 7, 20243 updates tracked since enumeration
NPPES CertifiedAugust 7, 2024
NPI 1346397221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Licenses Licensed in CA · A103713 Licensed in CA · 81
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
10393 TORRE AVE STE L, Cupertino, CA 95014

Secondary Practice Location 1

Location 115780 Los Gatos BlvdLos Gatos, CA 95032-2508 · Phone (408) 358-5000 · Fax (408) 358-7936

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Nima Sayed Massoomi Dmd, Med, Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 28, 2016 through March 28, 2028.

Opt-Out Effective DateMarch 28, 2016
Opt-Out In Effect ThroughMarch 28, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Pediatric Dentistry)
10393 TORRE AVE STE L
CUPERTINO, CA 95014
Dentist (Oral and Maxillofacial Surgery)
10393 TORRE AVE STE L
CUPERTINO, CA 95014
Dentist (Pediatric Dentistry)
10393 TORRE AVE STE L
CUPERTINO, CA 95014

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nima Massoomi's NPI number?

The NPI number for Nima Massoomi is 1346397221. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Where is Nima Massoomi located?

Nima Massoomi practices at 10393 Torre Ave Ste L, Cupertino, CA 95014. The listed phone number is (408) 253-6084.

What is Nima Massoomi's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Nima Massoomi enrolled in Medicare?

No. Nima Massoomi has opted out of Medicare through March 28, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Nima Massoomi accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Nima Massoomi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nima Massoomi was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.