Active NPI
Moussa Moshfegh, M.D.
- Surgery Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A38055
- Practice address
- 6221 Wilshire Blvd
Suite 404
Los Angeles, CA 90048-5201 - Phone
- (323) 933-3810
- Fax
- (323) 933-7522
- NPI assigned
- Jul 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A38055 | CA | Primary |
Addresses
Primary practice location
6221 Wilshire Blvd
Suite 404
Los Angeles, CA 90048-5201
Mailing address
6221 Wilshire Blvd
Suite 404
Los Angeles, CA 90048-5201
Phone (323) 933-3810
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A380550 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6221 Wilshire Blvd
Suite 404
Los Angeles, CA 90048-5224
Phone (323) 933-3810
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Mastectomy | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A38055 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moussa Moshfegh MD, Inc | Specialist | Current | Accepting new patients |
| Ahmc Whittier Hospital Medical Center LP | Past | Accepting new patients | |
| Bakersfield Emergency Medical Corp. | Past | Accepting new patients | |
| Southern California Healthcare System, Inc | Past | Accepting new patients | |
| Bakersfield Memorial Hospital | Past | Accepting new patients | |
| Cedars-Sinai Medical Center | Past | Accepting new patients | |
| Ahmc Greater El Monte Comm Hosp LLC | Past | Accepting new patients |
Locations
6221 Wilshire Blvd
Ste 404
Los Angeles, CA 90048
Phone (323) 933-3810
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 7
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.
-
- Specialist
- Los Angeles, CA
- NPI 1538170444
-
- Community/Retail Pharmacy
- South El Monte, CA
- NPI 1922115526
-
- Medicare Defined Swing Bed Hospital Unit
- Whittier, CA
- NPI 1497855605
-
- Emergency Medicine Physician
- Bakersfield, CA
- NPI 1578633137
-
- Institutional Pharmacy
- Bakersfield, CA
- NPI 1144256363
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- Psychiatric Hospital Unit
- Culver City, CA
- NPI 1487905725
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hollywood, CA
- NPI 1023010113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595548800000",
"number": "1326247404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6221 WILSHIRE BLVD",
"address_2": "SUITE 404",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485201",
"telephone_number": "323-933-3810",
"fax_number": "323-933-7522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6221 WILSHIRE BLVD",
"address_2": "SUITE 404",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485201",
"telephone_number": "323-933-3810",
"fax_number": "323-933-7522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSHFEGH",
"first_name": "MOUSSA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-17",
"last_updated": "2020-07-24",
"certification_date": "2020-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A38055",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A380550",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.