Individual provider Active NPI

Drew Moghanaki, MD

  • Radiation Oncology Physician
  • Los Angeles, CA
National Provider Identifier
1669538443
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
C1171699 Issued in CA
Practice address
200 UCLA Medical PLZ # B265
Los Angeles, CA 90095-5051
Phone
(310) 825-9775
Fax
(310) 794-9795
NPI assigned
Dec 28, 2006
Last updated
May 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 081672 GA
Radiation Oncology Physician 2085R0001X 0101243108 VA
Radiation Oncology Physician 2085R0001X MD425082 PA
Radiation Oncology Physician 2085R0001X MT181847 PA
Radiation Oncology Physician 2085R0001X C1171699 CA Primary

Addresses

Primary practice location

200 UCLA Medical PLZ # B265
Los Angeles, CA 90095-5051

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Phone (310) 301-5138

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
I20210303003474 CA Practitioner - Radiation Oncology 5698849461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Vanderbilt University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Regents of the University of CaliforniaGroup PAC ID 3274573464, 32 clinicians

Practice addresses (Care Compare)

200 UCLA Med Plaza
B265
Los Angeles, CA 90024-6951
Phone (310) 825-9304

27235 Tourney Rd
Suite 1400
Valencia, CA 91355-5908
Phone (661) 287-0010

757 Westwood PLZ
Los Angeles, CA 90095-8358
Phone (310) 825-8021

860 Park View Dr N
El Segundo, CA 90245-4914
Phone (310) 794-7301

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.28 of 100Reported as group
Quality
68.36
Promoting interoperability
100
Improvement activities
40
Cost
48.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1171699CAMDRadiation Oncology Physician
081672GAMDRadiation Oncology Physician
MD425082PAMDRadiation Oncology Physician
MT181847PAMDRadiation Oncology Physician
0101243108VAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California Radiation Oncology CurrentSince Mar 1, 2021 Accepting new patients
UCLA Medical Group Past Accepting new patients
Crawford Long Hospital Past Accepting new patients
Emory University Past Accepting new patients
Virginia Commonwealth University Health System Authority Past Accepting new patients
UCLA Radiology Medical Group Radiation Oncology Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
The Regents of the University of California Past Accepting new patients

Locations

3951 Katella Ave
Ste 102
Los Alamitos, CA 90720
Phone (562) 799-3196

200 UCLA Medical Plz
#B265
Los Angeles, CA 90095
Phone (310) 267-9099

200 UCLA Medical Plz
Ste 265B
Los Angeles, CA 90095

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

File 2939
Los Angeles, CA 90074
Phone (310) 794-6596

1223 16th St
Ste 1100
Santa Monica, CA 90404
Phone (310) 794-4733

27235 Tourney Rd
Ste 1400
Valencia, CA 91355
Phone (661) 253-5858

Interoperability endpoints

  • Direct secure messaging: dmoghanaki888441@direct.uclahealth.org

Organizations & group practices 8

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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1669538443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631",
            "telephone_number": "310-301-5138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 UCLA MEDICAL PLZ # B265",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900955051",
            "telephone_number": "310-825-9775",
            "fax_number": "310-794-9795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGHANAKI",
        "first_name": "DREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "GA",
            "license": "081672",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "VA",
            "license": "0101243108",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "MD425082",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "MT181847",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "C1171699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.