GHOLAM REZA HOSSEINIAN M.D.,
NPI 1124042882
Family Medicine in Gardena, CA

Q: What is Gholam Hosseinian's NPI number?

The NPI number for Gholam Hosseinian is 1124042882. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Q: What is Gholam Hosseinian's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Gholam Hosseinian was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since July 27, 2006PECOS Enrolled

1030 W GARDENA BLVD, GARDENA, CA 90247(310) 323-9999(310) 323-0216 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Gholam Reza Hosseinian M.d., NPPES

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

GHOLAM REZA HOSSEINIAN M.D., (NPI 1124042882) is an individual family medicine provider in Gardena, California, licensed in California (A72485) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1124042882

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameGHOLAM REZA HOSSEINIANCredential: M.D.,

Location Address1030 W GARDENA BLVDGardena, CA 90247-4956

Mailing Address1030 W Gardena BlvdGardena, CA 90247-4956 · (310) 323-9999 · Fax (310) 323-0216

Phone(310) 323-9999

Fax(310) 323-0216

Sole ProprietorNo

Medical School CMSOtherGraduated 1990

Enumeration DateJuly 27, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1124042882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A72485

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1030 W GARDENA BLVD, Gardena, CA 90247

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Other Identifiers 1

Medicare UPINH83856CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gholam Reza Hosseinian M.d., is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355387614

PECOS Enrollment IDI20050708000132

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 Gholam Hosseinian reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Universal Medical Clinic, Inc.

26 mi

Family Medicine

18701 SHERMAN WAY
Reseda, CA 91335

Reassigned Medicare billing, California enrollment

NPI 1760671077 (310) 323-9999

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

929 services175 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

199 services128 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

133 services93 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

76 services76 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

16 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90247 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

9 suppliers32 claims57 services$5.79 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

7 suppliers16 claims18 services$1.00 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

SOUTH ATLANTIC MEDICAL GROUP

General Practice

1030 W GARDENA BLVD
GARDENA, CA 90247

Los Angeles County (310) 323-9999

JOCELYN RAMIREZ PHYSICIAN ASSISTANT

Physician Assistant

1030 W GARDENA BLVD
GARDENA, CA 90247

Los Angeles County (866) 981-3002

PAMELA OCAMPO DANIELS NP

Nurse Practitioner (Family)

1030 W GARDENA BLVD
GARDENA, CA 90247

Los Angeles County (424) 222-8800

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 Gholam Hosseinian's NPI number?

The NPI number for Gholam Hosseinian is 1124042882. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Gholam Hosseinian located?

Gholam Hosseinian practices at 1030 W Gardena Blvd, Gardena, CA 90247. The listed phone number is (310) 323-9999.

What is Gholam Hosseinian's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gholam Hosseinian enrolled in Medicare?

Yes. Gholam Hosseinian is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gholam Hosseinian's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gholam Hosseinian reassigns Medicare benefits to Universal Medical Clinic, Inc. (Reseda, 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 Gholam Hosseinian'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 Gholam Hosseinian was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.