Individual provider Active NPI

Emad Mogadam

  • Interventional Cardiology Physician
  • Los Angeles, CA
National Provider Identifier
1639520133
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A151414 Issued in CA
Practice address
1513 S Grand Ave Ste 400
Los Angeles, CA 90015-3075
Phone
(530) 208-9214
NPI assigned
Jun 26, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 24198 NH
Cardiovascular Disease Physician 207RC0000X A151414 CA
Interventional Cardiology Physician 207RI0011X 26369 NV
Interventional Cardiology Physician 207RI0011X A151414 CA Primary

Addresses

Primary practice location

1513 S Grand Ave Ste 400
Los Angeles, CA 90015-3075

Mailing address

1360 S Figueroa St Ste D-282
Los Angeles, CA 90015-2873
Phone (716) 200-2771

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
I20251223001921 CA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 2769877307 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
State University of New York at Buffalo School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Valley Medical Group IncGroup PAC ID 4880595875, 78 clinicians

Practice addresses (Care Compare)

1360 S Figueroa St
Suite 282
Los Angeles, CA 90015-2873

1513 S Grand Ave
Suite 400
Los Angeles, CA 90015-3075
Phone (213) 742-6400

16850 Bear Valley Rd
Victorville, CA 92395-5794
Phone (760) 241-8000

Hospital & facility affiliations

  • California Hospital Medical Center la Hospital, Los Angeles, CA, CCN 050149
  • Desert Valley Hospital Hospital, Victorville, CA, CCN 050709
  • Pih Health Good Samaritan Hospital Hospital, Los Angeles, CA, CCN 050471

Merit-based Incentive Payment System (MIPS)

Final score
79.66 of 100Reported as apm
Quality
53.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.66 of 100Reported as apm
Quality
53.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
98.01 of 100Reported as apm
Quality
84.78
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A151414CAMDCardiovascular Disease Physician
24198NHMDCardiovascular Disease Physician

Practice roles (3 of 4)

OrganizationSpecialtyStatusNew patients
Desert Valley Medical Group, Inc CurrentSince Oct 15, 2025 Accepting new patients
Advanced Heart Specialists Interventional Cardiology CurrentSince Jun 9, 2025 Accepting new patients
Desert Valley Medical Group, Inc CurrentSince Oct 15, 2025 Accepting new patients

Locations

1513 S Grand Ave
Ste 400
Los Angeles, CA 90015
Phone (213) 742-5784

16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

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": "1466899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1639520133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 S FIGUEROA ST STE D-282",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900152873",
            "telephone_number": "716-200-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 S GRAND AVE STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153075",
            "telephone_number": "530-208-9214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGADAM",
        "first_name": "EMAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-26",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NH",
            "license": "24198",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A151414",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NV",
            "license": "26369",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A151414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.