Individual provider Active NPI

Said K Mostafavi, M.D.,

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1639163744
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A43672 Issued in CA
Practice address
2080 Century Park East
Suite 1401
Los Angeles, CA 90067-2001
Phone
(310) 551-1881
Fax
(310) 551-2984
NPI assigned
Sep 2, 2005
Reactivated
Apr 12, 2006
Last updated
Aug 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A43672 CA Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X A43672 CA

Addresses

Primary practice location

2080 Century Park East
Suite 1401
Los Angeles, CA 90067-2001

Mailing address

2080 Century Park East
Suite 1401
Los Angeles, CA 90067-2001
Phone (310) 551-1881

Other identifiers 2

IdentifierTypeStateIssuer
00A436720OtherCABLUECROSS/BLUESHIELD
00A436721MedicaidCA

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
I20040804000825 CA Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Other (Physician)Practitioner - Sleep Medicine 5092786913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists), Sleep Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11500 W Olympic Blvd
Suite 617
Los Angeles, CA 90064-3804
Phone (310) 551-1881

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A43672CAMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
S K Mostafavi MD FCCP a Medical Corporation Sleep Medicine CurrentSince Jan 1, 2001 Accepting new patients
Southern California Healthcare System, Inc Past Accepting new patients
Brotman Medical Center, Inc. Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients

Locations

11500 W Olympic Blvd
Ste 617
Los Angeles, CA 90064
Phone (310) 551-1881

2080 Century Park E
Ste 1401
Los Angeles, CA 90067
Phone (310) 551-1881

15515 San Fernando Mission Blvd
Ste A3
Mission Hills, CA 91345
Phone (310) 683-3116

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1639163744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK EAST",
            "address_2": "SUITE 1401",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672001",
            "telephone_number": "310-551-1881",
            "fax_number": "310-551-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK EAST",
            "address_2": "SUITE 1401",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672001",
            "telephone_number": "310-551-1881",
            "fax_number": "310-551-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSTAFAVI",
        "first_name": "SAID",
        "middle_name": "K",
        "credential": "M.D.,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "deactivation_date": "2006-03-24",
        "reactivation_date": "2006-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A43672",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CA",
            "license": "A43672",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD",
            "identifier": "00A436720",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A436721",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.