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OMID MODARRES MOUSAVI M.D.
NPI 1043444029
Family Medicine - Geriatric Medicine in Downey, CA

Active since May 06, 2009PECOS Enrolled
12130 PARAMOUNT BLVD, DOWNEY, CA 90242(323) 889-7830 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Omid Modarres Mousavi M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OMID MODARRES MOUSAVI M.D. (NPI 1043444029) is an individual geriatric medicine provider in Downey, California, licensed in California (A121076) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043444029
Entity TypeIndividualMale
Primary Taxonomy207QG0300X
Provider Legal NameOMID MODARRES MOUSAVICredential: M.D.
Location Address12130 PARAMOUNT BLVDDowney, CA 90242-2339
Mailing Address200 Newport Center Dr Ste 303Newport Beach, CA 92660-7504
Phone(323) 889-7830
Sole ProprietorNo
Enumeration DateMay 6, 2009
Last NPPES UpdateNovember 10, 2025
NPPES CertifiedNovember 10, 2025
✔ NPI 1043444029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License✔ Licensed in CA · A121076
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
12130 PARAMOUNT BLVD, Downey, CA 90242
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Omid Modarres Mousavi M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Omid Mousavi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Memory And Movement Clinic
27 mi
Geriatric Medicine
200 NEWPORT CENTER DR STE 303
Newport Beach, CA 92660
  • Reassigned Medicare billing, California enrollment
NPI 1447139175 (650) 750-6576

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90242 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IVONE Y POLICARPIO
Case Manager/Care Coordinator
12130 PARAMOUNT BLVD
DOWNEY, CA 90242
Los Angeles County (562) 923-9414
ESTEFANIA MAURER SPAKOWSKY
Internal Medicine
12130 PARAMOUNT BLVD
DOWNEY, CA 90242
Los Angeles County (562) 923-9414
ELIZABETH RAMIREZ
Nurse's Aide
12130 PARAMOUNT BLVD
DOWNEY, CA 90242
Los Angeles County (562) 923-9414
LESLIE FUENTES
Case Manager/Care Coordinator
12130 PARAMOUNT BLVD
DOWNEY, CA 90242
Los Angeles County (562) 923-9414
SANDRA SANTANA RN
Registered Nurse (Case Management)
12130 PARAMOUNT BLVD
DOWNEY, CA 90242
Los Angeles County (562) 923-9414
MRS. CLAUDIA LORENA LANIGAN
Registered Nurse (Case Management)
12130 PARAMOUNT BLVD
DOWNEY, CA 90242
Los Angeles County (562) 923-9414
KARINA ANDREA ALVARENGA
Licensed Vocational Nurse
12130 PARAMOUNT BLVD
DOWNEY, CA 90242
Los Angeles County (562) 923-9414
BRENDA PEREZ
Licensed Vocational Nurse
12130 PARAMOUNT BLVD
DOWNEY, CA 90242
Los Angeles County (562) 923-9414

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Omid Mousavi's NPI number?

The NPI number for Omid Mousavi is 1043444029. It was assigned to this individual provider in the NPPES registry on May 6, 2009.

Where is Omid Mousavi located?

Omid Mousavi practices at 12130 Paramount Blvd, Downey, CA 90242. The listed phone number is (323) 889-7830.

What is Omid Mousavi's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Omid Mousavi enrolled in Medicare?

Yes. Omid Mousavi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Omid Mousavi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Omid Mousavi reassigns Medicare benefits to Memory And Movement Clinic (Newport Beach, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Omid Mousavi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Omid Mousavi was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.