NPIMap

Individual provider Active NPI

Mahshid Melody Mosallaei-Benjamin, M.D.

  • Hematology & Oncology Physician
  • Los Angeles, CA
National Provider Identifier
1568515138
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
C53083 Issued in CA
Practice address
10833 Le Conte Ave
60-054 CHS
Los Angeles, CA 90095-1678
Phone
(310) 825-5756
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 22354 OK
Hematology & Oncology Physician 207RH0003X C53083 CA Primary

Addresses

Primary practice location

10833 Le Conte Ave
60-054 CHS
Los Angeles, CA 90095-1678

Mailing address

5767 W Century Blvd
Suite 400
Los Angeles, CA 90045-5631
Phone (310) 301-8707

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
I20091116000193 CA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 7012055866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
University of Oklahoma College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2020 Santa Monica Blvd
Suite 210
Santa Monica, CA 90404-2139
Phone (310) 458-2381

6633 Telephone Rd
Ventura, CA 93003-5569

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.51 of 100Reported as group
Quality
79.37
Promoting interoperability
100
Improvement activities
40
Cost
73.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C53083CAMDHematology & Oncology Physician
22354OKMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California CurrentSince Mar 1, 2015 Accepting new patients
The Regents of the University of California Hematology & Oncology CurrentSince Mar 1, 2015 Accepting new patients
Community Memorial Health System Past Accepting new patients
Los Robles Regional Medical Center Past Accepting new patients
UCLA Medical Group Hematology & Oncology Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

10833 Le Conte Ave
#60054
Los Angeles, CA 90095
Phone (310) 794-8349

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

File 55737
Los Angeles, CA 90074

2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381

6633 Telephone Rd
Ste 200
Ventura, CA 93003
Phone (310) 825-2144

1250 La Venta Dr
Ste 202
Westlake Vlg, CA 91361
Phone (805) 496-5153

Interoperability endpoints

  • Direct secure messaging: mmosallaeibenjamin376511@direct.uclahealth.org

Organizations & group practices 6

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1568515138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD",
            "address_2": "SUITE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631",
            "telephone_number": "310-301-8707",
            "fax_number": "310-301-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10833 LE CONTE AVE",
            "address_2": "60-054 CHS",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951678",
            "telephone_number": "310-825-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSALLAEI-BENJAMIN",
        "first_name": "MAHSHID",
        "middle_name": "MELODY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "OK",
            "license": "22354",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "C53083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.