Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rustin A Massoudi, MD

Individual provider Urology Physician · NPI 1861836843

Rustin A Massoudi, MD is an Urology in Stanford, California. Qualified in 2013, 13 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
13
Licensed in
CA
In the registry since
2013
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

300 Pasteur Dr
Stanford, CA 94305-2200
Phone: (650) 723-4000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1500 Duarte Rd, Duarte, CA 91010-3012 — (626) 256-4673

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence A131914 (CA)

Record details

NPI number1861836843
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 22, 2013
Last updated in NPPESMay 2, 2024
Certification dateMay 2, 2024
Mailing address300 Pasteur Dr, Stanford, CA 94305-2200

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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