LIDA MOHTASHAM M.D.
NPI 1225235237
Pediatrics - Pediatric Pulmonology in Long Beach, CA

Active since July 02, 2007PECOS Enrolled
2801 ATLANTIC AVE, LONG BEACH, CA 90806(562) 684-8096 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lida Mohtasham M.d. NPPES

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

LIDA MOHTASHAM M.D. (NPI 1225235237) is an individual pediatric pulmonology provider in Long Beach, California, licensed in Pennsylvania (MD434388) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Long Beach.

NPPES Registry Identity

NPI1225235237
Entity TypeIndividualFemale
Primary Taxonomy2080P0214X
Provider Legal NameLIDA MOHTASHAMCredential: M.D.
Location Address2801 ATLANTIC AVELong Beach, CA 90806-1701
Mailing AddressPo Box 3637Seal Beach, CA 90740-7637 · (562) 684-8096
Sole ProprietorNo
Enumeration DateJuly 2, 2007
Last NPPES UpdateAugust 27, 2025
NPPES CertifiedAugust 27, 2025
NPI 1225235237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0214X
Licenses Licensed in PA · MD434388 Licensed in PA · MT205387
Definition

A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.

Also ListedPediatricsTaxonomy 208000000X · License MD434388 (PA)
2801 ATLANTIC AVE, Long Beach, CA 90806

Secondary Practice Location 1

Location 1701 E 28th St Ste 418Long Beach, CA 90806-2794 · Phone (562) 684-8096

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lida Mohtasham 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.

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.

Pediatrics (Neonatal-Perinatal Medicine)
2801 ATLANTIC AVE
LONG BEACH, CA 90806
Nurse Practitioner (Acute Care)
2801 ATLANTIC AVE
LONG BEACH, CA 90806
Internal Medicine
2801 ATLANTIC AVE
LONG BEACH, CA 90806
Physician Assistant
2801 ATLANTIC AVE
LONG BEACH, CA 90806
Physician Assistant
2801 ATLANTIC AVE
LONG BEACH, CA 90806
Pharmacy (Community/Retail Pharmacy)
2801 ATLANTIC AVE
LONG BEACH, CA 90806
Pediatrics (Pediatric Critical Care Medicine)
2801 ATLANTIC AVE, 3RD FLOOR
LONG BEACH, CA 90806
Internal Medicine
2801 ATLANTIC AVE
LONG BEACH, CA 90806

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 Lida Mohtasham's NPI number?

The NPI number for Lida Mohtasham is 1225235237. It was assigned to this individual provider in the NPPES registry on July 2, 2007.

Where is Lida Mohtasham located?

Lida Mohtasham practices at 2801 Atlantic Ave, Long Beach, CA 90806. The listed phone number is (562) 684-8096.

What is Lida Mohtasham's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Is Lida Mohtasham enrolled in Medicare?

Yes. Lida Mohtasham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lida Mohtasham was last updated on August 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.