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DR. MAZIAR MARK GHALILI D.O.
NPI 1053672006
Internal Medicine in Los Angeles, CA

Active since June 06, 2012PECOS Enrolled
2101 S SAN PEDRO ST, LOS ANGELES, CA 90011(702) 671-2341 Get Directions Write a Review

NPPES record last updated: July 5, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Maziar Mark Ghalili D.o. NPPES

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

DR. MAZIAR MARK GHALILI D.O. (NPI 1053672006) is an individual internal medicine provider in Los Angeles, California, licensed in Nevada (SL0884) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053672006
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MAZIAR MARK GHALILICredential: D.O.
Location Address2101 S SAN PEDRO STLos Angeles, CA 90011-1125
Mailing Address2101 S San Pedro StLos Angeles, CA 90011-1125 · (702) 671-2341
Phone(702) 671-2341
Sole ProprietorYes
Enumeration DateJune 6, 2012
Last NPPES UpdateJuly 5, 2016
✔ NPI 1053672006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NV · SL0884
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2101 S SAN PEDRO ST, Los Angeles, CA 90011
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Other Names 1

Other Name (5)Mark Ghalili D.o.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Maziar Mark Ghalili D.o. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90011 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
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 4

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

SAMAN GHALILI MD INC
General Practice
2101 S SAN PEDRO ST
LOS ANGELES, CA 90011
Los Angeles County (213) 745-8766
LAURA P. LAMAS-GUZMAN PA-C
Physician Assistant
2101 S SAN PEDRO ST
LOS ANGELES, CA 90011
Los Angeles County (213) 745-8766
SAM GHALILI MD INC
General Practice
2101 S SAN PEDRO ST
LOS ANGELES, CA 90011
Los Angeles County (213) 845-8766
SAMAN GHALILI M.D.
General Practice
2101 S SAN PEDRO ST
LOS ANGELES, CA 90011
Los Angeles County (213) 745-8766

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 Maziar Ghalili's NPI number?

The NPI number for Maziar Ghalili is 1053672006. It was assigned to this individual provider in the NPPES registry on June 6, 2012. The provider is also known as Mark Ghalili D.O..

Where is Maziar Ghalili located?

Maziar Ghalili practices at 2101 S San Pedro St, Los Angeles, CA 90011. The listed phone number is (702) 671-2341.

What is Maziar Ghalili's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Maziar Ghalili enrolled in Medicare?

Yes. Maziar Ghalili is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Maziar Ghalili was last updated on July 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.