Active NPI
Mosen Michael Defrawy, MD
- Internal Medicine Physician
- Montebello, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G60701
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Maryland School of Medicine, 1985
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 204 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G60701 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Mobile Wound Care | Current | Accepting new patients | |
| Beverlycare | Current | Accepting new patients | |
| Provision Wound Care Inc | Current | Accepting new patients | |
| Defrawy and Associates | Current | Accepting new patients | |
| Beverlycare | Current | Accepting new patients | |
| Feras and Hisham a Medical Corporation | Past | Accepting new patients | |
| Virginia Emergency Medicine Assoicates, LTD | Past | 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
- mosen.defrawy.p1@direct.lakeside.nextgenshare.com
- 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.
-
- Federally Qualified Health Center (FQHC)
- Montebello, CA
- NPI 1841836301
-
- General Practice Physician
- Sherman Oaks, CA
- NPI 1013731009
-
- Health Service Clinic/Center
- Huntington Beach, CA
- NPI 1073265252
-
- Internal Medicine Physician
- Sherman Oaks, CA
- NPI 1760272124
-
dba Family First Medical Clinic
- Health Service Clinic/Center
- Pomona, CA
- NPI 1700055274
-
- Federally Qualified Health Center (FQHC)
- Montebello, CA
- NPI 1750106332
-
- Federally Qualified Health Center (FQHC)
- Montebello, CA
- NPI 1760936884
-
- Family Medicine Physician
- Sherman Oaks, CA
- NPI 1003632225
-
- Emergency Medical Services (Emergency Medicine) Physician
- Warrenton, VA
- NPI 1700988664
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; 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.