Individual ProviderNathan MasseyGeneral PracticeAllopathic & Osteopathic PhysiciansPractice Address34800 Bob Wilson Dr, San Diego, CA 92134-1098(619) 532-6400PECOS EnrollmentBased on the most recent information from CMS, provider Nathan Massey does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1174383616Provider TypeIndividualFull NameMassey, NathanCredentialMDGenderMaleSole ProprietorNoEnumeration Date3/21/2024Last Updated7/27/2025Contact InformationPractice LocationPractice Address34800 Bob Wilson Dr, San Diego, CA 92134-1098Phone(619) 532-6400FaxUnlisted FaxMailing LocationMailing Address34800 Bob Wilson Dr, San Diego, CA 92134-1098Phone(619) 532-6400FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208D00000XPrimaryDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicense7971868IdahoCode171000000XDescriptionMilitary Health Care ProviderOther Service ProvidersLicenseUnlisted Issuer