Active NPI
Drew Moghanaki, MD
- Radiation Oncology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- C1171699
- 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, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| C1171699 | CA | MD | Radiation Oncology Physician |
| 081672 | GA | MD | Radiation Oncology Physician |
| MD425082 | PA | MD | Radiation Oncology Physician |
| MT181847 | PA | MD | Radiation Oncology Physician |
| 0101243108 | VA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Regents of the University of California | Radiation Oncology | Current | 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
- 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.
-
dba UCLA Rad-Onc Group Practice
- Radiation Oncology Physician
- Los Angeles, CA
- NPI 1730143454
-
dba Resnick Neuropsychiatric Hospital at UCLA
- Psychiatric Hospital
- Los Angeles, CA
- NPI 1952308363
-
dba Santa Monica UCLAMC and Orthopedic Hospital
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1982849105
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1043427248
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1881670248
Radiation Oncology
-
dba Emory University dba Emory Crawford Long Hospital
- General Acute Care Hospital
- Atlanta, GA
- NPI 1144203563
-
dba Emory University Hospital
- General Acute Care Hospital
- Atlanta, GA
- NPI 1588640692
-
- Psychiatric Hospital Unit
- Richmond, VA
- NPI 1750466363
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Santa MonicaUCLAMC and Orthopedic Hospital
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1427055839
-
dba Ronald Reagan UCLA Medical Center
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1902803315
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.