Fatemeh Abdollahi Mofakham, MD - Medicare Diagnostic Radiology in Los Angeles, CA

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Fatemeh Abdollahi Mofakham, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Los Angeles, California. She graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Regents Of The University Of California, Martin Luther King Jr Community Medical Group, Ucla Radiology Medical Group and her current practice location is 757 Westwood Plz, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (310) 301-6800.

Fatemeh Abdollahi Mofakham is licensed to practice in California (license number A162178) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1659652915.

Contact Information

Fatemeh Abdollahi Mofakham, MD
757 Westwood Plz,
Los Angeles, CA 90095-0006
(310) 301-6800
Not Available

Map and Direction




Physician's Profile

Full NameFatemeh Abdollahi Mofakham
GenderFemale
SpecialityDiagnostic Radiology
Experience16 Years
Location757 Westwood Plz, Los Angeles, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Fatemeh Abdollahi Mofakham graduated from medical school in 2008
  NPI Data:
  • NPI Number: 1659652915
  • Provider Enumeration Date: 08/31/2011
  • Last Update Date: 11/10/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4587963400
  • Enrollment ID: I20200213000840

Medical Identifiers

Medical identifiers for Fatemeh Abdollahi Mofakham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659652915NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology A162178 (California)Primary
2085R0202XRadiology - Diagnostic Radiology 35.130208 (Ohio)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Santa Monica - Ucla Med Ctr & Orthopaedic HospitalSanta monica, CAHospital
Ronald Reagan Ucla Medical CenterLos angeles, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Regents Of The University Of California529495881589
Martin Luther King Jr Community Medical Group8628359502165
Ucla Radiology Medical Group8921902065182

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. Fatemeh Abdollahi Mofakham allows following entities to bill medicare on her behalf.
Entity NameUcla Radiology Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881670248
PECOS PAC ID: 8921902065
Enrollment ID: O20031120001026
Entity NameDiagnostic Radiological Imaging
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710931910
PECOS PAC ID: 4981680220
Enrollment ID: O20040626000471
Entity NamePronet Imaging Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528099488
PECOS PAC ID: 5890722755
Enrollment ID: O20050721000831
Entity NameBeverly Radiology Medical Group Iii
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962457812
PECOS PAC ID: 3476466376
Enrollment ID: O20060221000914
Entity NameSan Fernando Valley Interventional Radiology And Imaging Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942350889
PECOS PAC ID: 3476651431
Enrollment ID: O20070614000478
Entity NameFresno Imaging Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659456499
PECOS PAC ID: 2466553128
Enrollment ID: O20070724000813
Entity NameNorcal Imaging
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003965997
PECOS PAC ID: 7911099346
Enrollment ID: O20070815000403
Entity NameRadnet Medical Imaging - San Francisco
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548345382
PECOS PAC ID: 9830283761
Enrollment ID: O20070921000636
Entity NameEmeryville Advanced Imaging Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376597930
PECOS PAC ID: 3375637051
Enrollment ID: O20070926000354
Entity NameModesto Advanced Diagnostic Imaging Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730133893
PECOS PAC ID: 1850336736
Enrollment ID: O20080313000323
Entity NameRegents Of The University Of California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891110888
PECOS PAC ID: 5294958815
Enrollment ID: O20140528001538
Entity NameMartin Luther King Jr Community Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356899777
PECOS PAC ID: 8628359502
Enrollment ID: O20170109001311

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. Fatemeh Abdollahi Mofakham 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 AddressPractice Location Address
Fatemeh Abdollahi Mofakham, MD
5767 W Century Blvd Ste 400,
Los Angeles, CA 90045-5631

Ph: (310) 301-8771		Fatemeh Abdollahi Mofakham, MD
757 Westwood Plz,
Los Angeles, CA 90095-0006

Ph: (310) 301-6800

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.