NPIMap

Individual provider Active NPI

Pooya Mobasseri, D.O.

  • Family Medicine Physician
  • Westlake Village, CA
National Provider Identifier
1356670657
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A 10982 Issued in CA
Practice address
3366 E Thousand Oaks Blvd Ste 200
Westlake Village, CA 91362-5925
Phone
(805) 496-1500
NPI assigned
Dec 15, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A 10982 CA Primary

Addresses

Primary practice location

3366 E Thousand Oaks Blvd Ste 200
Westlake Village, CA 91362-5925

Mailing address

3366 E Thousand Oaks Blvd Ste 200
Westlake Village, CA 91362-5925
Phone (805) 496-1500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100312000204 CA Practitioner - Family Practice 3870628142 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A 10982CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Housecall Doctors Medical Group Inc CurrentSince Nov 29, 2011 Accepting new patients
Memorial Hospice Care, Inc. Family Medicine PastSince Nov 12, 2020 Accepting new patients

Locations

23181 Verdugo Dr
Ste 103A
Laguna Hills, CA 92653
Phone (800) 964-4364

3800 Kilroy Airport Way
Ste 270
Long Beach, CA 90806
Phone (949) 366-1053

Interoperability endpoints

  • Direct secure messaging: pooya.mobasseri@hdmg.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bonum Hospice ServicesBurbank, CA, CCN 551786 Hospice Contracted Managing Employee Mar 6, 2023
Sacred Life HospiceSherman Oaks, CA, CCN 751501 Hospice Contracted Managing Employee Sep 20, 2013
Agape Hospice & Palliative Care, LLCTorrance, CA, CCN 751693 Hospice Contracted Managing Employee Dec 1, 2017
Zentor Hospice IncStudio City, CA, CCN B21655 Hospice W-2 Managing Employee Dec 1, 2022
Dynamic Hospice and Palliative CareSherman Oaks, CA, CCN A01754 Hospice Contracted Managing Employee (33%) Nov 12, 2020
Affinity Healthcare ResourcesAgoura Hills, CA, CCN B21733 Hospice Contracted Managing Employee Jun 15, 2023
Love and Peace Hospice IncCanoga Park, CA, CCN A11777 Hospice W-2 Managing Employee Feb 8, 2023
Montrose Hospice IncLa Crescenta, CA, CCN B21614 Hospice W-2 Managing Employee Mar 1, 2025
Rose Desert HospiceLancaster, CA, CCN D61531 Hospice Contracted Managing Employee Oct 20, 2025

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1356670657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3366 E THOUSAND OAKS BLVD STE 200",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913625925",
            "telephone_number": "805-496-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3366 E THOUSAND OAKS BLVD STE 200",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913625925",
            "telephone_number": "805-496-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOBASSERI",
        "first_name": "POOYA",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-15",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A 10982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

Verify at the official NPI Registry.