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PHYLLIS MO D.O.
NPI 1215376843
Family Medicine in Pasadena, CA

Active since June 17, 2013PECOS Enrolled
3160 E DEL MAR BLVD, STE 110, PASADENA, CA 91107(626) 270-2400(626) 270-2499 Get Directions Write a Review

NPPES record last updated: July 19, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phyllis Mo D.o. NPPES

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

PHYLLIS MO D.O. (NPI 1215376843) is an individual family medicine provider in Pasadena, California, licensed in California (20A13898) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1215376843
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NamePHYLLIS MOCredential: D.O.
Location Address3160 E DEL MAR BLVD, STE 110Pasadena, CA 91107-4649
Mailing Address3160 E Del Mar Blvd, Ste 110Pasadena, CA 91107-4649 · (626) 270-2400 · Fax (626) 270-2499
Phone(626) 270-2400
Fax(626) 270-2499
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJune 17, 2013
Last NPPES UpdateJuly 19, 2016
✔ NPI 1215376843 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 · 20A13898
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.
3160 E DEL MAR BLVD, Pasadena, CA 91107
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phyllis Mo D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759686637
PECOS Enrollment IDI20160302000462
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.

Areas of Expertise CMS Part B claims 3

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.

Osteopathic manipulative treatment, 9-10 body regions 98929
Osteopathic Manipulative Treatment (OMT) involves hands-on care. In a 9-10 body regions procedure, a doctor manipulates muscles and joints using techniques like stretching, gentle pressure, and resistance to improve health and wellness. It's often used to ease pain, promote healing, and increase overall mobility.
397 services81 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.
369 services74 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91107 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 12

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

ALICIA VANEE KAZARIANS NP
Nurse Practitioner
3160 E DEL MAR BLVD
PASADENA, CA 91107
Los Angeles County (626) 270-2400
JILL TASHJIAN MSN, ACNP
Nurse Practitioner (Acute Care)
3160 E DEL MAR BLVD
PASADENA, CA 91107
Los Angeles County (626) 270-2400
DR. CARLETTE P. NOVERO MD
Family Medicine
3160 E DEL MAR BLVD, SUITE 100
PASADENA, CA 91107
Los Angeles County (626) 398-6300
CRYSTAL TSAI TENG P.A.
Physician Assistant (Medical)
3160 E DEL MAR BLVD, SUITE 110
PASADENA, CA 91107
Los Angeles County (626) 397-2400
SUSANNA SACKITEY
Family Medicine
3160 E DEL MAR BLVD
PASADENA, CA 91107
Los Angeles County (626) 398-6300
DR. CYNTHIA WILLARD M.D.
Family Medicine
3160 E DEL MAR BLVD, SUITE 100
PASADENA, CA 91107
Los Angeles County (626) 993-1238
MISS BINDI AJAYKUMAR PATEL PA
Physician Assistant (Medical)
3160 E DEL MAR BLVD
PASADENA, CA 91107
Los Angeles County (626) 398-6300
MRS. JAIME KAMAILE CARRILLO FNP-BC
Nurse Practitioner (Family)
3160 E DEL MAR BLVD
PASADENA, CA 91107
Los Angeles County (626) 270-2400

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 Phyllis Mo's NPI number?

The NPI number for Phyllis Mo is 1215376843. It was assigned to this individual provider in the NPPES registry on June 17, 2013.

Where is Phyllis Mo located?

Phyllis Mo practices at 3160 E Del Mar Blvd Ste 110, Pasadena, CA 91107. The listed phone number is (626) 270-2400.

What is Phyllis Mo's specialty?

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

Is Phyllis Mo enrolled in Medicare?

Yes. Phyllis Mo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Phyllis Mo was last updated on July 19, 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.