Individual provider Active NPI

Mohsen Basiri, MD

  • Internal Medicine Physician
  • Torrance, CA
National Provider Identifier
1548953680
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
210286 Issued in CA
Practice address
2780 Skypark Dr Ste 310
Torrance, CA 90505-5399
Phone
(858) 295-0501
Fax
(308) 646-6140
NPI assigned
Jun 2, 2023
Last updated
Aug 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 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 210286 CA Primary

Addresses

Primary practice location

2780 Skypark Dr Ste 310
Torrance, CA 90505-5399

Mailing address

244 Madison Ave Ste 141
New York, NY 10016-2817
Phone (669) 201-0667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1168 Hartford Tpke
North Haven, CT 06473-3035

244 Madison Ave
New York, NY 10016-2819

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
210286CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ellison Medical Group Vein Treatment Center CurrentSince Jun 30, 2026 Accepting new patients

Locations

7677 Center Ave
Ste 310
Huntington Beach, CA 92647
Phone (669) 295-0501

4482 Barranca Pkwy
Ste 252
Irvine, CA 92604
Phone (669) 201-0667

244 Madison Ave
Ste 141
New York, NY 10016

Interoperability endpoints

  • Direct secure messaging: mbasiri3584779@direct.trinity-health.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1548953680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 MADISON AVE STE 141",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162817",
            "telephone_number": "669-201-0667",
            "fax_number": "818-616-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 SKYPARK DR STE 310",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055399",
            "telephone_number": "858-295-0501",
            "fax_number": "308-646-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASIRI",
        "first_name": "MOHSEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-02",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "210286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.