Dr Jessica Mofidi, MD in Los Angeles, CA

Dr Jessica Mofidi, MD is a medicare enrolled "Pediatrics - Sports Medicine" physician in Los Angeles, California. Her current practice location is 403 W Adams Blvd, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (213) 742-1153.

Dr Jessica Mofidi is licensed to practice in California (license number A153568) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1326581208.

Contact Information

	Dr Jessica Mofidi, MD
	403 W Adams Blvd, Los Angeles, CA 90007-2664
	(213) 742-1153
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Jessica Mofidi
Gender	Female
Speciality	Pediatrics - Sports Medicine
Location	403 W Adams Blvd, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326581208
Provider Enumeration Date: 11/28/2016
Last Update Date: 12/06/2021

Medicare PECOS Information:

PECOS PAC ID: 8022348788
Enrollment ID: I20200129000320

Medical Identifiers

Medical identifiers for Dr Jessica Mofidi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326581208	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080S0010X	Pediatrics - Sports Medicine	A153568 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jessica Mofidi allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Entity Name	Orthopaedic Hospital Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942300918 PECOS PAC ID: 5799686283 Enrollment ID: O20040116001051

Entity Name	Orthopaedic Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689632374 PECOS PAC ID: 0244142735 Enrollment ID: O20060127000704

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jessica Mofidi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Jessica Mofidi, MD 4650 W Sunset Blvd, Mailstop #68, Los Angeles, CA 90027-6062 Ph: (323) 361-2122	Dr Jessica Mofidi, MD 403 W Adams Blvd, Los Angeles, CA 90007-2664 Ph: (213) 742-1153

Reviews and Comments

Pediatrics Doctors in Los Angeles, CA

Dr. Mark Hendrik Corden, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4650 W Sunset Blvd, Los Angeles, CA 90027 Phone: 323-361-8893 Fax: 323-361-1814
Ms. Roberta Miyeko Kato, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4650 W Sunset Blvd, Los Angeles, CA 90027 Phone: 323-361-2101 Fax: 323-361-1355
Meera Dhirubhai Kanani, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1240 N Mission Rd, Los Angeles, CA 90033 Phone: 323-226-3691
Dr. Marisa Danbee Oh, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 2020 Zonal Ave, Lac-usc Med Ctr- Interns/residents Building, Room 112, Los Angeles, CA 90089 Phone: 626-241-0704
Dr. Tiffany Prugpichailers Pedigo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 757 Westwood Plz, B711 Rrumc, Los Angeles, CA 90095 Phone: 310-267-9129
Neema Izadi, MD, MS Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4650 W Sunset Blvd # 75, Los Angeles, CA 90027 Phone: 323-361-2501 Fax: 323-361-1191
Jennifer Stephanie Menjivar-lopez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3671 W 6th St Ste A, Los Angeles, CA 90020 Phone: 213-235-2500

Dr Jessica Mofidi, MD - Medicare Pediatrics in Los Angeles, CA