Jacob Moussai, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A89174 Issued in CA

Practice address

420 S Beverly Dr Ste 100
Beverly Hills, CA 90212-4410

Phone

(310) 775-1866

Fax

(310) 444-9306

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Psychiatry

Education

University of California, Davis School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lipov Medical Group of Ca PCGroup PAC ID 8123504537, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Jacob Moussai MD Inc

  • Psychiatry Physician
  • Beverly Hills, CA
  • NPI 1750622585
  Medicare reassignment NPD Authorized official
• Lipov Medical Group of Ca PC

  • Psychiatry Physician
  • Los Angeles, CA
  • NPI 1497635221
  Medicare reassignment Care Compare group NPD
• Nima Fahimian MD Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Los Angeles, CA
  • NPI 1144879149
  NPD
• Advance Life Recovery

  • Substance Abuse Rehabilitation Facility
  • Northridge, CA
  • NPI 1245121805
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1952494023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 S BEVERLY DR STE 100",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124410",
            "telephone_number": "310-775-1866",
            "fax_number": "310-444-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S BEVERLY DR STE 100",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124410",
            "telephone_number": "310-775-1866",
            "fax_number": "310-444-9306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUSSAI",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A89174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Moskowitz, DPT
• Sharona Asal Mossazadeh, PA-C
• Neta Mostadim, PHARM.D.
• Amir H. Motamed, D.D.S.
• Olga Moukhortova-Von Lipinski, MD
• Movo Physical Therapy PC
• Ricardo Mowatt
• Moy-Fincher Medical Group
• Moy-Fincher-Chipps Surgery Center, Inc.
• Jeannette Moynihan, RN, IBCLC, DOULA

• Psychiatry Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.

Verify at the official NPI Registry.