GINA NAN MO
NPI 1609321892
Internal Medicine in West Hollywood, CA

Q: What is Gina Mo's NPI number?

The NPI number for Gina Mo is 1609321892. It was assigned to this individual provider in the NPPES registry on August 17, 2016.

Q: What is Gina Mo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gina Mo was last updated on July 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 17, 2016PECOS EnrolledAccepts Medicare Assignment

8700 BEVERLY BLVD STE 5512, WEST HOLLYWOOD, CA 90048(310) 423-5161(310) 423-4683 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2023, Sep 28, 2020, Aug 17, 2016 (3 updates tracked since 2016).

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About Gina Nan Mo NPPES

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

GINA NAN MO (NPI 1609321892) is an individual internal medicine provider in West Hollywood, California, licensed in California (A180822) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Northwestern University Feinberg Medical School (2020).

NPPES Registry Identity

NPI1609321892

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameGINA NAN MO

Location Address8700 BEVERLY BLVD STE 5512West Hollywood, CA 90048-1804

Mailing Address4140 W 190th StTorrance, CA 90504-5513

Phone(310) 423-5161

Fax(310) 423-4683

Sole ProprietorNo

Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2020

Enumeration DateAugust 17, 2016

Last NPPES UpdateJuly 7, 20233 updates tracked since enumeration

NPPES CertifiedJuly 7, 2023

✔ NPI 1609321892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · A180822

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

8700 BEVERLY BLVD STE 5512, West Hollywood, CA 90048

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Secondary Practice Location 1

Location 1240 E Huron St, Suite 1-200Chicago, IL 60611-2909 · Phone (312) 503-7975

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

Gina Nan Mo 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 ID5395105464

PECOS Enrollment IDI20230720002744

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.

Areas of Expertise CMS Part B claims

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.

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.

50 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90048 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.

MATTHEW HERMOSURA BAUTISTA

Student in an Organized Health Care Education/Training Program