DR. EVAN MASATAKA MASUTANI MD, PHD
NPI 1659122596
Student in an Organized Health Care Education/Training Program in San Diego, CA

Q: What is Evan Masutani's NPI number?

The NPI number for Evan Masutani is 1659122596. It was assigned to this individual provider in the NPPES registry on March 28, 2024.

Q: What is Evan Masutani's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Evan Masutani was last updated on July 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since March 28, 2024

200 W ARBOR DR, SAN DIEGO, CA 92103(619) 543-3534 Get Directions Write a Review

NPPES record last updated: July 3, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Evan Masataka Masutani Md, Phd NPPES

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

DR. EVAN MASATAKA MASUTANI MD, PHD (NPI 1659122596) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1659122596

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. EVAN MASATAKA MASUTANICredential: MD, PHD

Location Address200 W ARBOR DRSan Diego, CA 92103-9000

Mailing Address200 W Arbor DrSan Diego, CA 92103-9000 · (619) 543-3534

Phone(619) 543-3534

Sole ProprietorNo

Enumeration DateMarch 28, 2024

Last NPPES UpdateJuly 3, 2026

NPPES CertifiedJuly 3, 2026

✔ NPI 1659122596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

200 W ARBOR DR, San Diego, CA 92103

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Other Providers at the Same Location NPPES 20

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

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