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SAMIRA MOUGHRABI NP
NPI 1265926240
Nurse Practitioner - Family in Glendale, CA

Active since June 21, 2018PECOS Enrolled
1123 S CENTRAL AVE, GLENDALE, CA 91204(818) 242-8805 Get Directions Write a Review

NPPES record last updated: June 21, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Samira Moughrabi Np NPPES

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

SAMIRA MOUGHRABI NP (NPI 1265926240) is an individual family provider in Glendale, California, licensed in California (444881) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265926240
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSAMIRA MOUGHRABICredential: NP
Location Address1123 S CENTRAL AVEGlendale, CA 91204-2212
Mailing Address1123 S Central AveGlendale, CA 91204-2212 · (818) 242-8805
Phone(818) 242-8805
Sole ProprietorYes
Enumeration DateJune 21, 2018
✔ NPI 1265926240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 444881
1123 S CENTRAL AVE, Glendale, CA 91204
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samira Moughrabi Np 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 Samira Moughrabi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Care Connect Medical Group
0.8 mi
Primary Care
3111 LOS FELIZ BLVD, STE 211
Los Angeles, CA 90039
  • Reassigned Medicare billing, California enrollment
  • 24 clinicians in this Medicare group
NPI 1134669971 (866) 227-3310

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 91204 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 5

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

PAK PODIATRY CORP
Clinic/Center (Podiatric)
1123 S CENTRAL AVE
GLENDALE, CA 91204
Los Angeles County (818) 242-8805
TAHSIN ALI WAHEB M.D.
Surgery
1123 S CENTRAL AVE
GLENDALE, CA 91204
Los Angeles County (818) 402-8060
RICARDO PORRAS
Chiropractor
1123 S CENTRAL AVE
GLENDALE, CA 91204
Los Angeles County (818) 242-8804
LOUIS B FLORES M.D.
Family Medicine
1123 S CENTRAL AVE
GLENDALE, CA 91204
Los Angeles County (818) 365-8509
HEALTHY MEDICAL TRASPORTATION
Non-emergency Medical Transport (VAN)
1123 S CENTRAL AVE
GLENDALE, CA 91204
Los Angeles County (818) 242-8420

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 Samira Moughrabi's NPI number?

The NPI number for Samira Moughrabi is 1265926240. It was assigned to this individual provider in the NPPES registry on June 21, 2018.

Where is Samira Moughrabi located?

Samira Moughrabi practices at 1123 S Central Ave, Glendale, CA 91204. The listed phone number is (818) 242-8805.

What is Samira Moughrabi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Samira Moughrabi enrolled in Medicare?

Yes. Samira Moughrabi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samira Moughrabi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samira Moughrabi reassigns Medicare benefits to Care Connect Medical Group (Los Angeles, 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 Samira Moughrabi'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 Samira Moughrabi was last updated on June 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.