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DR. BONNIE TEKLIN MOURA M.D.
NPI 1487628459
Internal Medicine in Los Angeles, CA

Active since February 15, 2006PECOS Enrolled
1520 SAN PABLO ST, SUITE 1000, LOS ANGELES, CA 90033(818) 952-3075(818) 790-2215 Get Directions Write a Review

NPPES record last updated: April 24, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Bonnie Teklin Moura M.d. NPPES

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

DR. BONNIE TEKLIN MOURA M.D. (NPI 1487628459) is an individual internal medicine provider in Los Angeles, California, licensed in California (G061553) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487628459
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. BONNIE TEKLIN MOURACredential: M.D.
Location Address1520 SAN PABLO ST, SUITE 1000Los Angeles, CA 90033-5310
Mailing AddressPo Box 31309Los Angeles, CA 90031-0309 · (818) 952-3075 · Fax (818) 790-2215
Phone(818) 952-3075
Fax(818) 790-2215
Sole ProprietorNo
Enumeration DateFebruary 15, 2006
Last NPPES UpdateApril 24, 2012
✔ NPI 1487628459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · G061553
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1520 SAN PABLO ST, Los Angeles, CA 90033
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Other Identifiers 4

Medicare UPINF03287CA
OtherGR0100430CA · Group Medical
OtherW18762CA · Group Medicare
Other1902846306CA · Group Npi

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bonnie Teklin Moura 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90033 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
$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 20

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

DR. CAROLINE HWANG M.D.
Internal Medicine (Gastroenterology)
1520 SAN PABLO ST, SUITE 1000
LOS ANGELES, CA 90033
Los Angeles County (323) 442-5100
GISELLE MARIA PETZINGER M.D.
Psychiatry & Neurology (Neurology)
1520 SAN PABLO ST, SUITE 3000
LOS ANGELES, CA 90033
Los Angeles County (323) 442-5710
LIGAYA CASTILLO
Nurse Practitioner
1520 SAN PABLO ST, SUITE 1000
LOS ANGELES, CA 90033
Los Angeles County (323) 442-5100
ERICA ZOE SHOEMAKER MD
Psychiatry & Neurology (Psychiatry)
1520 SAN PABLO ST, STE 1652
LOS ANGELES, CA 90033
Los Angeles County (323) 442-6000
DR. MICHELE TORTORA PATO M.D.
Psychiatry & Neurology (Psychiatry)
1520 SAN PABLO ST, STE1652
LOS ANGELES, CA 90033
Los Angeles County (323) 442-6000
DR. EDY E SOFFER M.D.
Internal Medicine (Gastroenterology)
1520 SAN PABLO ST, SUITE 1000
LOS ANGELES, CA 90033
Los Angeles County (323) 442-5100
DR. TRACY DEBRA LAWRENCE M.D.
Internal Medicine (Cardiovascular Disease)
1520 SAN PABLO ST, SUITE 1000
LOS ANGELES, CA 90033
Los Angeles County (323) 442-5100
CAROLYN L. KALOOSTIAN MD
Family Medicine (Geriatric Medicine)
1520 SAN PABLO ST, 1ST FLOOR
LOS ANGELES, CA 90033
Los Angeles County (323) 442-5900

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 Bonnie Moura's NPI number?

The NPI number for Bonnie Moura is 1487628459. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Bonnie Moura located?

Bonnie Moura practices at 1520 San Pablo St Suite 1000, Los Angeles, CA 90033. The listed phone number is (818) 952-3075.

What is Bonnie Moura's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Bonnie Moura enrolled in Medicare?

Yes. Bonnie Moura is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bonnie Moura was last updated on April 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.