Individual provider Active NPI

Mosen Michael Defrawy, MD

  • Internal Medicine Physician
  • Montebello, CA
National Provider Identifier
1457409401
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G60701 Issued in CA
Practice address
520 W Beverly Blvd
Montebello, CA 90640-3622
Phone
(323) 920-0505
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G60701 CA Primary

Addresses

Primary practice location

520 W Beverly Blvd
Montebello, CA 90640-3622

Mailing address

433 N 4TH St Ste 205a
Montebello, CA 90640-4311
Phone (323) 920-0505

Other practice location 1

2112 S Garey Ave Ste C
Pomona, CA 91766-5600
Phone (909) 464-0520

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
I20050520000640 CA Practitioner - Internal MedicinePractitioner - General Practice 8921049818 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: General Practice
Education
University of Maryland School of Medicine, 1985
Medicare assignment
May accept Medicare assignment
Group practices
BeverlycareGroup PAC ID 9537416102, 4 clinicians

Practice addresses (Care Compare)

101 E Beverly Blvd
Suite 301
Montebello, CA 90640-4316
Phone 32392005051469

15130 Ventura Blvd
Suite 251
Sherman Oaks, CA 91403-3301
Phone (310) 269-6644

1920 W Whittier Blvd
Montebello, CA 90640-4009
Phone 32392005051469

433 N 4TH St
Suite 205a
Montebello, CA 90640-4311
Phone (323) 920-0505

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue204
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G60701CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Mobile Wound Care CurrentSince May 4, 2025 Accepting new patients
Beverlycare CurrentSince Nov 14, 2024 Accepting new patients
Provision Wound Care Inc CurrentSince Apr 13, 2025 Accepting new patients
Defrawy and Associates Current Accepting new patients
Beverlycare CurrentSince Nov 14, 2024 Accepting new patients
Feras and Hisham a Medical Corporation PastSince Jul 1, 2020 Accepting new patients
Virginia Emergency Medicine Assoicates, LTD PastSince Apr 30, 2023 Accepting new patients

Locations

433 N 4th St
Ste 205A
Montebello, CA 90640
Phone (323) 208-0946

101 E Beverly Blvd
Ste 301
Montebello, CA 90640
Phone (323) 725-3099

1920 W Whittier Blvd
Montebello, CA 90640
Phone (323) 725-1519

101 E Beverly Blvd
Ste 303
Montebello, CA 90640
Phone (323) 837-5147

2112 S Garey Ave
Ste C
Pomona, CA 91766
Phone (909) 464-0520

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mosen.defrawy.p1@direct.lakeside.nextgenshare.com
  • Direct secure messaging: mosen.defrawy@bhfcc.eclinicaldirectplus.com

Organizations & group practices 9

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1457409401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 N 4TH ST STE 205A",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404311",
            "telephone_number": "323-920-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403622",
            "telephone_number": "323-920-0505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2112 S Garey Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917665600",
            "country_code": "US",
            "telephone_number": "909-464-0520",
            "fax_number": "909-464-0523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEFRAWY",
        "first_name": "MOSEN",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G60701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

Verify at the official NPI Registry.