Individual provider Active NPI

Hossein Mahboubi, M.D., M.P.H.

  • Otology & Neurotology Physician
  • Los Angeles, CA
National Provider Identifier
1114347804
Registry record updated Feb 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otology & Neurotology PhysicianTaxonomy code 207YX0901X
License
A145231 Issued in CA
Practice address
1245 Wilshire Blvd Ste 480
Los Angeles, CA 90017-5809
Phone
(213) 483-9930
Fax
(562) 967-2363
NPI assigned
Apr 21, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otology & Neurotology Physician 207YX0901X A145231 CA Primary

Addresses

Primary practice location

1245 Wilshire Blvd Ste 480
Los Angeles, CA 90017-5809

Mailing address

1245 Wilshire Blvd Ste 480
Los Angeles, CA 90017-5809
Phone (213) 483-9930

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
I20210916002437 CA Practitioner - Otolaryngology 4789972654 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians

Practice addresses (Care Compare)

1225 Wilshire Blvd
Los Angeles, CA 90017-1901
Phone (213) 977-2121

12401 Washington Blvd
Whittier, CA 90602-1006
Phone (562) 698-0811

12675 La Mirada Blvd
Suite 201And401
La Mirada, CA 90638-2200
Phone (562) 903-7339

1400 S Harbor Blvd
La Habra, CA 90631-7577
Phone (714) 879-3400

431 S Batavia St
Suite 200
Orange, CA 92868-3937
Phone (714) 516-9570

Hospital & facility affiliations

  • Pih Health Good Samaritan Hospital Hospital, Los Angeles, CA, CCN 050471
  • Pih Health Hospital-Whittier Hospital, Whittier, CA, CCN 050169

Merit-based Incentive Payment System (MIPS)

Final score
78.61 of 100Reported as group
Quality
58.7
Improvement activities
40
Cost
75.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A145231CAMDOtology & Neurotology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians Current Accepting new patients
House Ear Clinic Inc CurrentSince Dec 13, 2023 Accepting new patients
Pih Health Physicians CurrentSince Aug 15, 2021 Accepting new patients
House Ear Clinic Inc CurrentSince Dec 13, 2023 Accepting new patients
Pih Health Physicians CurrentSince Aug 15, 2021 Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients

Locations

1400 S Harbor Blvd
La Habra, CA 90631
Phone (714) 879-3400

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

1245 Wilshire Blvd
Ste 812
Los Angeles, CA 90017
Phone (213) 369-4583

1245 Wilshire Blvd
Ste 480
Los Angeles, CA 90017

431 S Batavia St
Ste 200
Orange, CA 92868
Phone (714) 516-9570

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: hosseinmahboubi@pihh.allscriptsdirect.net

Organizations & group practices 6

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 2

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": "1398038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739577600000",
    "number": "1114347804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD STE 480",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900175809",
            "telephone_number": "213-483-9930",
            "fax_number": "562-967-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD STE 480",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900175809",
            "telephone_number": "213-483-9930",
            "fax_number": "562-967-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHBOUBI",
        "first_name": "HOSSEIN",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-21",
        "last_updated": "2025-02-15",
        "certification_date": "2025-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "CA",
            "license": "A145231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.