Individual provider Active NPI

Hamid Mohazab, DO

  • Diagnostic Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1790726495
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
20A7726 Issued in CA
Practice address
757 Westwood PLZ
Los Angeles, CA 90095-2045
Phone
(310) 301-6800
NPI assigned
Jun 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 036083046 IL
Diagnostic Radiology Physician 2085R0202X 036083046 IL
Diagnostic Radiology Physician 2085R0202X 20A7726 CA Primary

Addresses

Primary practice location

757 Westwood PLZ
Los Angeles, CA 90095-2045

Mailing address

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

Other practice location 1

2428 Santa Monica Blvd
Santa Monica, CA 90404-2045
Phone (310) 315-1000

Other practice location 2

1122 N Dearborn St
Chicago, IL 60610-5057
Phone (312) 406-2235

Other identifiers 1

IdentifierTypeStateIssuer
036083046MedicaidIL

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
I20190614000748 CA Practitioner - Diagnostic Radiology 4284547332 Reassigns benefits to 22 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Kansas City University of Physicians and Surgeons, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology and Nuclear Medicine LLCGroup PAC ID 3274425772, 30 clinicians
Valley Radiology Consultants Medical Group IncGroup PAC ID 4688572639, 8 clinicians
Louisville Radiology Imaging Consultants PLLCGroup PAC ID 2264436120, 103 clinicians

Practice addresses (Care Compare)

1164 Steuben St
Pasadena, CA 91106-3004
Phone (785) 234-3451

1635 Folkestone Ter
Westlake Village, CA 91361-3517
Phone (760) 520-8500

452 Devonshire Dr
Brea, CA 92821-6014
Phone (708) 915-5671

Hospital & facility affiliations

  • Stormont Vail Hospital Hospital, Topeka, KS, CCN 170086
  • Newman Regional Health Hospital, Emporia, KS, CCN 171384
  • Owensboro Health Regional Hospital Hospital, Owensboro, KY, CCN 180038
  • Holton Community Hospital Hospital, Holton, KS, CCN 171319
  • University of Kansas Health System - St Francis Campus Hospital, Topeka, KS, CCN 170016

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

Merit-based Incentive Payment System (MIPS)

Final score
89.78 of 100Reported as group
Quality
80
Improvement activities
40
Cost
75.29

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.13 of 100Reported as group
Quality
62.91
Promoting interoperability
100
Improvement activities
40
Cost
68.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7726CAMDAcupuncturist
20A7726CAMDDiagnostic Radiology Physician
036083046ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Medical Care Foundation CurrentSince Jul 1, 2023 Accepting new patients
John P Anderson MD Russell M Perry MD and Mark a Sharzer MD a Med CRP CurrentSince Oct 13, 2020 Accepting new patients
West Valley Radiology Medical Group, Inc. Diagnostic Radiology CurrentSince Jan 23, 2024 Accepting new patients
Radnet Medical Imaging-San Francisco Diagnostic Radiology CurrentSince Aug 9, 2022 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Jul 1, 2023 Accepting new patients
Radiology and Nuclear Medicine LLC Neuroradiology CurrentSince May 28, 2025 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Aug 9, 2022 Accepting new patients
Stockton Diagnostic Imaging Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
Glendora Radiological Assoc Inc Diagnostic Radiology CurrentSince Apr 15, 2019 Accepting new patients
Valley Radiology Consultants Medical Group, Inc Diagnostic Radiology CurrentSince Mar 1, 2025 Accepting new patients
Santa Rosa Imaging Medical Center Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
Fresno Imaging Center Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Jul 1, 2024 Accepting new patients
Arizona Diagnostic Radiology Group, LLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Norcal Imaging - Open MRI of Walnut Creek Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
Desert Advanced Imaging Medical Center Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
Focus Medical Imaging Diagnostic Radiology CurrentSince Feb 15, 2020 Accepting new patients
Modesto Advanced Diagnostic Imaging Medical Center Diagnostic Radiology CurrentSince Jul 20, 2022 Accepting new patients
St Francis Radiology Medical Group Diagnostic Radiology CurrentSince Jul 26, 2021 Accepting new patients
Diagnostic Radiological Imaging Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
Norcal Imaging Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
St Jude Radiology Medical Group Inc Diagnostic Radiology CurrentSince Apr 1, 2020 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Jul 1, 2024 Accepting new patients
Martin Luther King Jr Community Medical Foundation Current Accepting new patients
Gurnee Radiology Center, LLC Diagnostic Radiology PastSince Jan 1, 1990 Accepting new patients
Gurnee Radiology Center, LLC Diagnostic Radiology PastSince Jan 1, 1990 Accepting new patients
Continental Anesthesia Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
UCLA Medical Group Diagnostic Radiology Past Accepting new patients

Locations (25 of 50)

18523 Corwin Rd
Ste J
Apple Valley, CA 92307
Phone (760) 242-4444

8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100

2215 W Rosecrans Ave
Ste 22
Compton, CA 90222
Phone (424) 529-6755

2300 Clayton Rd
Ste 160
Concord, CA 94520
Phone (925) 825-7777

801 S Main St
Ste 205
Corona, CA 92882
Phone (951) 351-1025

801 S Main St
Ste 101
Corona, CA 92882
Phone (951) 682-1099

210 W San Bernardino Rd
Covina, CA 91723
Phone (626) 858-8580

7911 Laguna Blvd
Elk Grove, CA 95758
Phone (916) 683-3950

16130 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 933-2020

255 N Elm St
Ste 102
Escondido, CA 92025
Phone (760) 743-3873

225 E 2nd Ave
Ste 104
Escondido, CA 92025
Phone (858) 815-2550

2201 Walnut Ave
Ste 150
Fremont, CA 94538
Phone (510) 713-1234

6191 N Thesta St
Fresno, CA 93710
Phone (559) 435-7200

6107 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 435-4433

101 E Valencia Mesa Dr
Fullerton, CA 92835
Phone (714) 446-7505

9191 Westminster Ave
Ste 105
Garden Grove, CA 92844
Phone (714) 583-6314

250 S Grand Ave
Glendora, CA 91741
Phone (626) 857-3118

250 S 12th Ave
Hanford, CA 93230
Phone (559) 295-2450

17772 Beach Blvd
Huntington Beach, CA 92647
Phone (714) 842-1473

2679 Zoe Ave
Huntington Park, CA 90255
Phone (323) 584-3333

11360 Mountain View Ave
Ste C
Loma Linda, CA 92354
Phone (909) 478-3300

3715 E South St
Long Beach, CA 90805
Phone (562) 602-0700

3320 N Los Coyotes Diagonal
Ste 120
Long Beach, CA 90808
Phone (562) 627-0903

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

3630 E Imperial Hwy
Lynwood, CA 90262
Phone (310) 900-7420

Interoperability endpoints

  • Direct secure messaging: hmohazab168332@stormontvaildirect.org

Organizations & group practices 33

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.

View all 33

Hospital & facility affiliations 6

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": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1790726495",
    "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": "310-301-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 WESTWOOD PLZ",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900952045",
            "telephone_number": "310-301-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2428 Santa Monica Blvd",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904042045",
            "country_code": "US",
            "telephone_number": "310-315-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1122 N Dearborn St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606105057",
            "country_code": "US",
            "telephone_number": "312-406-2235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHAZAB",
        "first_name": "HAMID",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "IL",
            "license": "036083046",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036083046",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "20A7726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036083046",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.