Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MOEZ KHORSANDI D.O., FACOS
NPI 1316987050
Urology in Los Angeles, CA

Active since June 08, 2006PECOS EnrolledCLIA 05D1021969 · Microscopy
1245 WILSHIRE BLVD, SUITE 408, LOS ANGELES, CA 90017(213) 482-2910 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Moez Khorsandi D.o., Facos NPPES

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

DR. MOEZ KHORSANDI D.O., FACOS (NPI 1316987050) is an individual urology provider in Los Angeles, California, licensed in California (20A6773) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through February 3, 2028, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1316987050
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. MOEZ KHORSANDICredential: D.O., FACOS
Location Address1245 WILSHIRE BLVD, SUITE 408Los Angeles, CA 90017-4810
Mailing Address1245 Wilshire Blvd, Suite 408Los Angeles, CA 90017-4810 · (213) 482-2910
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateJune 8, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1316987050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in CA · 20A6773
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1245 WILSHIRE BLVD, Los Angeles, CA 90017

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Moez Khorsandi D.o., Facos is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183516396
PECOS Enrollment IDI20040324001862
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D1021969

Moez Khorsandi Do Inc · Los Angeles, CA
Active · expires Feb 3, 2028
CLIA Number05D1021969
Laboratory TypePhysician Office
Certificate Effective DateFebruary 4, 2026
Certificate Expiration DateFebruary 3, 2028
Laboratory DirectorMoez Khorsandi Do
Laboratory Phone(213) 482-2910
Laboratory LocationMoez Khorsandi Do Inc1245 Wilshire Blvd Suite 408, Los Angeles, CA 90017
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 10

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
4,047 services185 patients
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.
480 services315 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
383 services237 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
163 services159 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.
116 services116 patients
Dilation of urethra using an endoscope 52281
This procedure involves expanding a narrow passage in your urinary tract with the help of a special instrument called an endoscope. It aids in improving urine flow and resolving related issues, ensuring better urinary health.
97 services89 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90017 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
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier13 claims1,950 services$1.40 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 20

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

Psychiatry & Neurology (Neurology)
1245 WILSHIRE BLVD, SUITE 814
LOS ANGELES, CA 90017
Ophthalmology
1245 WILSHIRE BLVD, 380
LOS ANGELES, CA 90017
Internal Medicine
1245 WILSHIRE BLVD, SUITE 790
LOS ANGELES, CA 90017
Internal Medicine (Hematology & Oncology)
1245 WILSHIRE BLVD, SUITE 801
LOS ANGELES, CA 90017
Internal Medicine
1245 WILSHIRE BLVD, STE 307
LOS ANGELES, CA 90017
Specialist
1245 WILSHIRE BLVD, SUITE 905
LOS ANGELES, CA 90017
Internal Medicine (Pulmonary Disease)
1245 WILSHIRE BLVD, SUITE 407
LOS ANGELES, CA 90017
Ophthalmology
1245 WILSHIRE BLVD, 380
LOS ANGELES, CA 90017

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 Moez Khorsandi's NPI number?

The NPI number for Moez Khorsandi is 1316987050. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Moez Khorsandi located?

Moez Khorsandi practices at 1245 Wilshire Blvd Suite 408, Los Angeles, CA 90017. The listed phone number is (213) 482-2910.

What is Moez Khorsandi's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Moez Khorsandi enrolled in Medicare?

Yes. Moez Khorsandi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Does Moez Khorsandi hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D1021969) is associated with this NPI, valid through February 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Moez Khorsandi was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.