Individual provider Active NPI

Amiel Moshfegh, MD

  • Vascular & Interventional Radiology Physician
  • Commerce, CA
National Provider Identifier
1144539644
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
A109904 Issued in CA
Practice address
2250 S Atlantic Blvd Ste G
Commerce, CA 90040-3949
Phone
(323) 347-1002
Fax
(323) 433-9177
NPI assigned
Sep 30, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A 109904 CA
Vascular & Interventional Radiology Physician 2085R0204X A109904 CA Primary

Addresses

Primary practice location

2250 S Atlantic Blvd Ste G
Commerce, CA 90040-3949

Mailing address

110 New Stine Rd
Bakersfield, CA 93309-2605
Phone (323) 347-1002

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
I20110705000468 CA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 5092993584 Reassigns benefits to 3 organizations
Practice locations: Beverly Hills, CA; Huntington Park, CA; Los Angeles, CA; Tarzana, CA; Bakersfield, CA

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
New York Medical College, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern California Vascular Institute IncGroup PAC ID 4880904895, 3 clinicians

Practice addresses (Care Compare)

2023 W Vista Way
Suite E
Vista, CA 92083-6030
Phone (914) 979-6159

2635 Walnut St
Huntington Park, CA 90255-5709
Phone (323) 347-1002

5757 Wilshire Blvd
Suite PR2
Los Angeles, CA 90036-3689
Phone (323) 433-7744

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal25
Leg revascularization (restoring blood flow)599

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
O C Mobile Imaging Diagnostic Radiology CurrentSince Jan 24, 2025 Accepting new patients
Illinois Diagnostic and Interventional Radiology PLLC Diagnostic Radiology CurrentSince Jan 6, 2026 Accepting new patients
DVT Diagnostic Services Inc CurrentSince Jun 1, 2016 Accepting new patients
Southern California Vascular Institute Inc Vascular & Interventional Radiology CurrentSince Oct 1, 2015 Accepting new patients
Preferred Imaging Center Inc Diagnostic Radiology CurrentSince Jan 11, 2024 Accepting new patients
Provas of Ogden, LLC Vascular & Interventional Radiology PastSince Oct 27, 2018 Accepting new patients
Alhambra Hospital Medical Center, LP Past Accepting new patients
Ahmc Greater El Monte Comm Hosp LLC Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
Quantum Medical Radiology PC Diagnostic Radiology Past Accepting new patients
Pco PC Diagnostic Radiology Past Accepting new patients
Southern California Healthcare System, Inc Past Accepting new patients
Radpod FL PLLC Diagnostic Radiology Past Accepting new patients

Locations (25 of 33)

110 New Stine Rd
Bakersfield, CA 93309
Phone (661) 832-1666

3941 San Dimas St
Ste 102
Bakersfield, CA 93301
Phone (661) 322-3087

2700 F St
Ste 101
Bakersfield, CA 93301
Phone (323) 488-0039

606 34th St
Bakersfield, CA 93301
Phone (661) 322-8611

2120 19th St
Bakersfield, CA 93301
Phone (661) 638-0620

3941 San Dimas St
Bakersfield, CA 93301

8500 Wilshire Blvd
Ste 630
Beverly Hills, CA 90211
Phone (310) 657-7741

8750 Wilshire Blvd
Ste 150
Beverly Hills, CA 90211
Phone (310) 461-1122

436 N Bedford Dr
Ste 101
Beverly Hills, CA 90210
Phone (310) 208-2442

2701 W Alameda Ave
Ste 602
Burbank, CA 91505
Phone (818) 562-7374

1007 Blair Ave
Calexico, CA 92231

2250 S Atlantic Blvd
Ste G
Commerce, CA 90040
Phone (323) 347-1002

11411 Brookshire Ave
Ste 301
Downey, CA 90241
Phone (562) 548-7530

8200 Firestone Blvd
Downey, CA 90241
Phone (310) 980-5334

463 N Magnolia Ave
El Cajon, CA 92020
Phone (619) 359-8380

465 N Magnolia Ave
El Cajon, CA 92020

400 N Irwin St
Hanford, CA 93230
Phone (559) 584-2700

6208 Seville Ave
Huntington Park, CA 90255
Phone (323) 588-8855

2661 E Florence Ave
Ste B
Huntington Pk, CA 90255
Phone (323) 583-3375

1720 W Avenue J
Lancaster, CA 93534
Phone (661) 940-6060

42135 10th St W
Ste 325
Lancaster, CA 93534
Phone (661) 237-5454

5757 Wilshire Blvd
Ste PR2
Los Angeles, CA 90036
Phone (310) 285-9612

3611 Martin Luther King Jr Blvd
Ste 107
Lynwood, CA 90262
Phone (310) 537-2121

1211 W 6th St
Ontario, CA 91762
Phone (909) 933-6580

1111 N China Lake Blvd
#220
Ridgecrest, CA 93555
Phone (760) 446-8100

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGBDDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/BJIECD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IGBDDD/Endpoint/IGBDDD

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1144539644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 NEW STINE RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933092605",
            "telephone_number": "323-347-1002",
            "fax_number": "323-433-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 S ATLANTIC BLVD STE G",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900403949",
            "telephone_number": "323-347-1002",
            "fax_number": "323-433-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSHFEGH",
        "first_name": "AMIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-30",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A 109904",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "A109904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce, CA

Sources for this page

Verify at the official NPI Registry.