DR. STEPHEN RANJIT MASILLAMONI MD
NPI 1730567850
Psychiatry & Neurology - Child & Adolescent Psychiatry in San Diego, CA

Active since May 08, 2015PECOS EnrolledAccepts Medicare Assignment
3020 CHILDRENS WAY, SAN DIEGO, CA 92123(858) 576-1700 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 30, 2024, Aug 25, 2021, Aug 3, 2021 and 5 more (8 updates tracked since 2019).

About Dr. Stephen Ranjit Masillamoni Md NPPES

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

DR. STEPHEN RANJIT MASILLAMONI MD (NPI 1730567850) is an individual child & adolescent psychiatry provider in San Diego, California, licensed in Hawaii (MD-21657) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Loma Linda University School Of Medicine (2013).

NPPES Registry Identity

NPI1730567850
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. STEPHEN RANJIT MASILLAMONICredential: MD
Location Address3020 CHILDRENS WAYSan Diego, CA 92123-4223
Mailing Address240 E 24th StYuma, AZ 85364-8547
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2013
Enumeration DateMay 8, 2015
Last NPPES UpdateApril 30, 20248 updates tracked since enumeration
NPPES CertifiedAugust 25, 2021
NPI 1730567850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Licenses Licensed in HI · MD-21657 Licensed in MA · 286357 Licensed in MD · D85328 Licensed in CA · A171232 Licensed in WA · MD61113936 Licensed in VA · 0101270929
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
3020 CHILDRENS WAY, San Diego, CA 92123

Secondary Practice Locations 3

Location 1822 Linden AveBaltimore, MD 21201-4622 · Phone (410) 856-3660
Location 22501 Parkers LnAlexandria, VA 22306-3209 · Phone (703) 664-7000 · Fax (703) 664-7666
Location 391-2301 Old Ft Weaver RdEwa Beach, HI 96706-3602 · Phone (808) 671-8511

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Stephen Ranjit Masillamoni Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375978166
PECOS Enrollment IDI20210119002288
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Pathology (Pediatric Pathology)
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
Physician Assistant
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
Pediatrics (Pediatric Infectious Diseases)
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
Speech-Language Pathologist
3020 CHILDRENS WAY, MC5010
SAN DIEGO, CA 92123
Audiologist
3020 CHILDRENS WAY, MC 5010
SAN DIEGO, CA 92123
Pediatrics
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
Pediatrics (Pediatric Emergency Medicine)
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
Nurse Practitioner (Pediatrics)
3020 CHILDRENS WAY
SAN DIEGO, CA 92123

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 Stephen Masillamoni's NPI number?

The NPI number for Stephen Masillamoni is 1730567850. It was assigned to this individual provider in the NPPES registry on May 8, 2015.

Where is Stephen Masillamoni located?

Stephen Masillamoni practices at 3020 Childrens Way, San Diego, CA 92123. The listed phone number is (858) 576-1700.

What is Stephen Masillamoni's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Stephen Masillamoni enrolled in Medicare?

Yes. Stephen Masillamoni is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Stephen Masillamoni was last updated on April 30, 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.