NPIMap

Individual provider Active NPI

Reza Mostofi, M.D.

  • Hematology & Oncology Physician
  • Torrance, CA
National Provider Identifier
1972786895
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
C56205 Issued in CA
Practice address
5215 Torrance Blvd
Torrance, CA 90503-4009
Phone
(310) 750-1715
Fax
(310) 792-6551
NPI assigned
Dec 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD430067 PA
Hematology & Oncology Physician 207RH0003X C1-0009044 DE
Hematology & Oncology Physician 207RH0003X C56205 CA Primary
Hematology & Oncology Physician 207RH0003X 25MA0858890 NJ

Addresses

Primary practice location

5215 Torrance Blvd
Torrance, CA 90503-4009

Mailing address

PO Box 512185
Los Angeles, CA 90051-0185

Other practice location 1

11480 Brookshire Ave
Suite 309
Downey, CA 90241-5018
Phone (562) 869-1201

Other practice location 2

11480 Brookshire Ave
Suite 309
Downey, CA 90241-5018
Phone (562) 869-1201

Other identifiers 1

IdentifierTypeStateIssuer
02333707-0001MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@cityofhope.direct-ci.com Direct CITY OF HOPE MEDICAL FOUNDATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131114000366 CA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 7618057837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
City of Hope Medical FoundationGroup PAC ID 3779751656, 964 clinicians

Practice addresses (Care Compare)

209 Fair Oaks Ave
South Pasadena, CA 91030-1814
Phone (626) 396-2900

5215 Torrance Blvd
Torrance, CA 90503-4009
Phone (310) 750-1715

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.8 of 100Reported as group
Quality
78.51
Promoting interoperability
100
Improvement activities
40
Cost
70.37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56205CAMDGeneral Practice Dentistry
25MA08599900NJMDEndocrinology, Diabetes & Metabolism Physician
C56205CAMDHematology & Oncology Physician
C1-0009044DEMDHematology & Oncology Physician
25MA0858890NJMDHematology & Oncology Physician
MD430067PAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City of Hope Medical Foundation Hematology & Oncology CurrentSince May 25, 2020 Accepting new patients
Martin Luther King, Jr. - Los Angeles (MLK-la) Healthcare Corporation Past Accepting new patients
University of California Irvine Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
Associates in Hematology-Oncology, P.C. Hematology & Oncology Past Accepting new patients
Gardena Hospital LP Past Accepting new patients
Associates in Hematology-Oncology, P.C. Hematology & Oncology Past Accepting new patients

Locations

1500 Duarte Rd
Duarte, CA 91010
Phone (626) 359-8111

209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111

5215 Torrance Blvd
Torrance, CA 90503
Phone (310) 316-6190

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rmostofi60573@cityofhope.direct-ci.com
  • Direct secure messaging: direct@cityofhope.direct-ci.com
  • Direct secure messaging: reza.mostofi@theoncologyinstitute.ikm.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1972786895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 512185",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900510185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 TORRANCE BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034009",
            "telephone_number": "310-750-1715",
            "fax_number": "310-792-6551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11480 Brookshire Ave",
            "address_2": "Suite 309",
            "address_purpose": "LOCATION",
            "city": "Downey",
            "state": "CA",
            "postal_code": "902415018",
            "country_code": "US",
            "telephone_number": "562-869-1201",
            "fax_number": "562-869-1281",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11480 Brookshire Ave",
            "address_2": "Suite 309",
            "address_purpose": "LOCATION",
            "city": "Downey",
            "state": "CA",
            "postal_code": "902415018",
            "country_code": "US",
            "telephone_number": "562-869-1201",
            "fax_number": "562-869-1281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSTOFI",
        "first_name": "REZA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-13",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "MD430067",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "DE",
            "license": "C1-0009044",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "C56205",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "25MA0858890",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02333707-0001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@cityofhope.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "CITY OF HOPE MEDICAL FOUNDATION",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1500 Duarte Rd",
            "city": "Duarte",
            "state": "CA",
            "country_code": "US",
            "postal_code": "910103012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.