Phyllis Mo, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A13898 Issued in CA

Practice address

3160 E del Mar Blvd
Ste 110
Pasadena, CA 91107-4649

Phone

(626) 270-2400

Fax

(626) 270-2499

NPI assigned

Jun 17, 2013

Last updated

Jul 19, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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

• Knight Fischer

  dba Osteopathic Golf

  • Neuromusculoskeletal Medicine & OMM Physician
  • Monterey, CA
  • NPI 1952806333
  Medicare reassignment NPD
• The Huntington Medical Foundation

  dba Huntington Health Physicians

  • Internal Medicine Physician
  • Pasadena, CA
  • NPI 1154467181

  Family Medicine

  Medicare reassignment NPD
• Aim Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Pasadena, CA
  • NPI 1215594981
  NPD
• Phyllis Mo, DO, Inc

  dba The Osteopathic Way

  • Neuromusculoskeletal Medicine & OMM Physician
  • Pasadena, CA
  • NPI 1215577168
  NPD
• The Osteopathic Way, P.C

  • Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
  • Soquel, CA
  • NPI 1447890165
  NPD
• Nicole Cheung, D.O., Inc.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Pasadena, CA
  • NPI 1548946353
  NPD (past)

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1215376843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 E DEL MAR BLVD",
            "address_2": "STE 110",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911074649",
            "telephone_number": "626-270-2400",
            "fax_number": "626-270-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 E DEL MAR BLVD",
            "address_2": "STE 110",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911074649",
            "telephone_number": "626-270-2400",
            "fax_number": "626-270-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MO",
        "first_name": "PHYLLIS",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-17",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A13898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MJK Home Health Care Inc
• MLH Health Care Inc
• Olivia Dang NA Mlodinow
• Ani Mnatsakanian, DO
• Kenny Mo
• Mobile Rehab Physical Therapy Inc
• Mehdi Modaraei
• Modern Concepts Medical Group
• Danielle Modesti
• Margaret Elizabeth Moeller

• Family Medicine Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.