Individual provider Active NPI

Mehdi Moslemi-Kebria, MD

  • Gynecologic Oncology Physician
  • Upland, CA
National Provider Identifier
1558569830
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
C132277 Issued in CA
Practice address
1100 San Bernardino Road
Suite 1100
Upland, CA 91786-4952
Phone
(909) 949-2242
Fax
(909) 981-5783
NPI assigned
Jul 6, 2007
Last updated
Sep 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X C132277 CA Primary

Addresses

Primary practice location

1100 San Bernardino Road
Suite 1100
Upland, CA 91786-4952

Mailing address

PO Box 512185
Los Angeles, CA 90051-0185

Other practice location 1

1280 Corona Pointe Ct Ste 112
Corona, CA 92879-1770
Phone (909) 580-2775

Other practice location 2

1000 Fivepoint
Irvine, CA 92618-2377
Phone (949) 671-4673

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@cityofhope.direct-ci.com Direct CITY OF HOPE MEDICAL FOUNDATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140904002006 CA Practitioner - Gynecological Oncology 2264528983 Reassigns benefits to 1 organization
I20161222000619 CA Practitioner - Obstetrics/Gynecology 2264528983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gynecological Oncology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
City of Hope Medical FoundationGroup PAC ID 3779751656, 964 clinicians

Practice addresses (Care Compare)

1000 Fivepoint
Irvine, CA 92618-2377
Phone (949) 671-4673

1100 San Bernardino Rd
Suite 1100
Upland, CA 91786-4923
Phone (909) 949-2242

1500 Duarte Rd
Duarte, CA 91010-3012
Phone (626) 256-4673

1500 E Duarte Rd
Duarte, CA 91010-3012

209 Fair Oaks Ave
South Pasadena, CA 91030-1814
Phone (626) 396-2900

320 W 6TH St
Corona, CA 92882-3349
Phone (951) 898-2828

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.8 of 100Reported as group
Quality
78.51
Promoting interoperability
100
Improvement activities
40
Cost
70.37

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
132277CAMDClinical Social Worker
C132277CAMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City of Hope Medical Foundation CurrentSince Nov 9, 2016 Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Fairview Hospital Past Accepting new patients
Uhs Corona Inc Past Accepting new patients
Mayo Clinic Health System-Lake City Past Accepting new patients
City of Hope Medical Foundation PastSince Jun 27, 2021 Accepting new patients
Wilshire Oncology Medical Group Inc Past Accepting new patients
The Cleveland Clinic Foundation Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Diagnostic Imaging Services Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Chino Medical Group, Inc Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Mayo Clinic Health System-Fairmont Past Accepting new patients
Emanate Health Foothill Presbyterian Hospital Past Accepting new patients

Locations

1280 Corona Pointe Ct
Ste 112
Corona, CA 92879
Phone (951) 736-0351

1500 Duarte Rd
Duarte, CA 91010
Phone (626) 359-8111

1000 Fivepoint
Irvine, CA 92618
Phone (888) 333-4673

1601 Avocado Ave
Newport Beach, CA 92660
Phone (949) 763-2204

7777 Milliken Ave
Ste 110
Rch Cucamonga, CA 91730
Phone (909) 948-7590

6939 Palm Ct
Riverside, CA 92506
Phone (760) 416-4832

209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111

1100 San Bernardino Rd
Ste 1100
Upland, CA 91786
Phone (909) 949-2242

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: direct@cityofhope.direct-ci.com
  • Direct secure messaging: mkebria9483@cityofhope.direct-ci.com

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1558569830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 512185",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900510185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SAN BERNARDINO ROAD",
            "address_2": "SUITE 1100",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864952",
            "telephone_number": "909-949-2242",
            "fax_number": "909-981-5783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1280 Corona Pointe Ct Ste 112",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928791770",
            "country_code": "US",
            "telephone_number": "909-580-2775",
            "fax_number": "909-580-2522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Fivepoint",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926182377",
            "country_code": "US",
            "telephone_number": "949-671-4673",
            "fax_number": "949-671-4329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSLEMI-KEBRIA",
        "first_name": "MEHDI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-06",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "CA",
            "license": "C132277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@cityofhope.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "CITY OF HOPE MEDICAL FOUNDATION",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1500 Duarte Rd",
            "city": "Duarte",
            "state": "CA",
            "country_code": "US",
            "postal_code": "910103012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.