Individual provider Active NPI

Mostafa Tabassomi, MD

  • Pulmonary Disease Physician
  • Valencia, CA
National Provider Identifier
1003042342
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A106160 Issued in CA
Practice address
23838 Valencia Blvd Ste 304
Valencia, CA 91355-5319
Phone
(661) 430-9030
Fax
(661) 430-9020
NPI assigned
Jun 1, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A106160 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A106160 CA
Pulmonary Disease Physician 207RP1001X A106160 CA Primary

Addresses

Primary practice location

23838 Valencia Blvd Ste 304
Valencia, CA 91355-5319

Mailing address

25716 Holly Oak CT
Valencia, CA 91381-0739
Phone (310) 463-0987

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091214000067 CA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 2365582913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

23838 Valencia Blvd
Suite 150
Valencia, CA 91355-5332
Phone (661) 430-9030

Hospital & facility affiliations

  • Star Care Home Health, Inc Home health agency, Granada Hills, CA, CCN 058322
  • Impact Home Health Care, Inc. Home health agency, Encino, CA, CCN 757514
  • Henry Mayo Newhall Hospital Hospital, Valencia, CA, CCN 050624

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
90
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
106160CAMDMarriage & Family Therapist
A106160CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Mayo Newhall Memorial Hospital Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mostafa.tabassomi@hca3.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1003042342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25716 HOLLY OAK CT",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913810739",
            "telephone_number": "310-463-0987",
            "fax_number": "661-430-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23838 VALENCIA BLVD STE 304",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555319",
            "telephone_number": "661-430-9030",
            "fax_number": "661-430-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABASSOMI",
        "first_name": "MOSTAFA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-01",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A106160",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A106160",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A106160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

Verify at the official NPI Registry.