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DR. JESSICA MOFIDI M.D.
NPI 1326581208
Pediatrics - Sports Medicine in Los Angeles, CA

Active since November 28, 2016PECOS EnrolledAccepts Medicare Assignment
403 W ADAMS BLVD, LOS ANGELES, CA 90007(213) 742-1153 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 6, 2021, Jun 25, 2020, Dec 31, 2018 (3 updates tracked since 2018).

About Dr. Jessica Mofidi M.d. NPPES

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

DR. JESSICA MOFIDI M.D. (NPI 1326581208) is an individual sports medicine provider in Los Angeles, California, licensed in California (A153568) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (2016).

NPPES Registry Identity

NPI1326581208
Entity TypeIndividualFemale
Primary Taxonomy2080S0010X
Provider Legal NameDR. JESSICA MOFIDICredential: M.D.
Location Address403 W ADAMS BLVDLos Angeles, CA 90007-2664
Mailing Address4650 W Sunset Blvd, Mailstop #68Los Angeles, CA 90027-6062 · (323) 361-2122 · Fax (323) 361-7926
Phone(213) 742-1153
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2016
Enumeration DateNovember 28, 2016
Last NPPES UpdateDecember 6, 20213 updates tracked since enumeration
NPPES CertifiedJune 25, 2020
✔ NPI 1326581208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080S0010X
License✔ Licensed in CA · A153568
Definition
A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
403 W ADAMS BLVD, Los Angeles, CA 90007
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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 and accepts Medicare assignment

Dr. Jessica Mofidi M.d. 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 ID8022348788
PECOS Enrollment IDI20200129000320
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.

JENNIFER VICTORIA VERA OTD, OTR/L
Occupational Therapist
403 W ADAMS BLVD
LOS ANGELES, CA 90007
Los Angeles County (213) 742-1000
MIRNA ARACELY GUZMAN PTA
Physical Therapy Assistant
403 W ADAMS BLVD
LOS ANGELES, CA 90007
Los Angeles County (213) 742-1450
CRANIOFACIAL/CLEFT PALATE PROGRAM
Specialist
403 W ADAMS BLVD, 4TH FLOOR
LOS ANGELES, CA 90007
Los Angeles County (213) 742-1433
MS. RACHELLE ANN MARIE SUE NP
Nurse Practitioner (Family)
403 W ADAMS BLVD
LOS ANGELES, CA 90007
Los Angeles County (213) 742-1000
CINDY BAILEY DPT, OCS, SCS, ATC
Physical Therapist
403 W ADAMS BLVD
LOS ANGELES, CA 90007
Los Angeles County (213) 742-1460
ROBERT SEAN WARNOCK ARNP
Nurse Practitioner (Family)
403 W ADAMS BLVD
LOS ANGELES, CA 90007
Los Angeles County (213) 741-8330
KEVIN BOWER FNP, BSN, RN, ATC
Registered Nurse
403 W ADAMS BLVD
LOS ANGELES, CA 90007
Los Angeles County (213) 742-1000
DR. JAY ISAAC STEVEN SEMEL DPT
Physical Therapist
403 W ADAMS BLVD
LOS ANGELES, CA 90007
Los Angeles County (213) 742-1450

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 Jessica Mofidi's NPI number?

The NPI number for Jessica Mofidi is 1326581208. It was assigned to this individual provider in the NPPES registry on November 28, 2016.

Where is Jessica Mofidi located?

Jessica Mofidi practices at 403 W Adams Blvd, Los Angeles, CA 90007. The listed phone number is (213) 742-1153.

What is Jessica Mofidi's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Sports Medicine, with taxonomy code 2080S0010X.

Is Jessica Mofidi enrolled in Medicare?

Yes. Jessica Mofidi 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.

When was this NPI record last updated?

The NPPES record for Jessica Mofidi was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.