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DR. MINA MOUSSAVIAN-ASSADI M.D.
NPI 1609863091
Pediatrics in Tarzana, CA

Active since September 30, 2005PECOS Enrolled
5525 ETIWANDA AVE, #212, TARZANA, CA 91356(818) 721-2400 Get Directions Write a Review

NPPES record last updated: August 2, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Mina Moussavian-assadi M.d. NPPES

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

DR. MINA MOUSSAVIAN-ASSADI M.D. (NPI 1609863091) is an individual pediatrics provider in Tarzana, California, licensed in Massachusetts (216492) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609863091
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. MINA MOUSSAVIAN-ASSADICredential: M.D.
Location Address5525 ETIWANDA AVE, #212Tarzana, CA 91356-3647
Mailing AddressPo Box 9602Mission Hills, CA 91346-9602 · (818) 837-5559 · Fax (818) 792-4793
Phone(818) 721-2400
Sole ProprietorNo
Enumeration DateSeptember 30, 2005
Last NPPES UpdateAugust 2, 2016
✔ NPI 1609863091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MA · 216492
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
5525 ETIWANDA AVE, Tarzana, CA 91356
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Other Names 1

Professional Name (2)Dr. Mina Moussavian Md

Other Identifiers 2

Medicaid2001110MA
Medicare PINCB257591CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mina Moussavian-assadi 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.

Medicare Billing Reassignment

Medicare enrollment records show Mina Moussavian-assadi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Providence Facey Medical Foundation
17 mi
Internal Medicine
26357 MCBEAN PKWY
Valencia, CA 91355
  • Reassigned Medicare billing, California enrollment
  • 684 clinicians in this Medicare group
NPI 1710031588 (661) 222-2600

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 91356 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 20

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

DAVID HOENIG MD INC
Pain Medicine (Interventional Pain Medicine)
5525 ETIWANDA AVE, SUITE 217
TARZANA, CA 91356
Los Angeles County (818) 344-4100
SAHAG A ARSLANIAN MD INC A MEDICAL CORPORATION
Clinical Medical Laboratory
5525 ETIWANDA AVE, SUITE 315
TARZANA, CA 91356
Los Angeles County (818) 881-9067
DR. DENNIS L PERLOW M.D.
Obstetrics & Gynecology (Gynecology)
5525 ETIWANDA AVE, SUITE 209
TARZANA, CA 91356
Los Angeles County (818) 344-8822
KENNETH E NYMAN M.D.
Internal Medicine
5525 ETIWANDA AVE, SUITE 222
TARZANA, CA 91356
Los Angeles County (818) 344-1001
CHARLES L KIMELMAN, MD, INC.
Obstetrics & Gynecology
5525 ETIWANDA AVE, SUITE #315
TARZANA, CA 91356
Los Angeles County (818) 881-9117
KENNETH S HEPPS MD
Internal Medicine (Gastroenterology)
5525 ETIWANDA AVE, STE 110
TARZANA, CA 91356
Los Angeles County (818) 996-4796
DR. GLENN RIDA IRANI M.D.
Pediatrics
5525 ETIWANDA AVE, SUITE 212
TARZANA, CA 91356
Los Angeles County (818) 344-7600
SAVINA KOLLMORGEN & MARIA KATZ PHYSICAL THERAPIST PROF CORP
Physical Therapist
5525 ETIWANDA AVE, SUITE 110
TARZANA, CA 91356
Los Angeles County (818) 343-3900

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 Mina Moussavian-assadi's NPI number?

The NPI number for Mina Moussavian-assadi is 1609863091. It was assigned to this individual provider in the NPPES registry on September 30, 2005. The provider is also known as Dr. Mina Moussavian MD.

Where is Mina Moussavian-assadi located?

Mina Moussavian-assadi practices at 5525 Etiwanda Ave #212, Tarzana, CA 91356. The listed phone number is (818) 721-2400.

What is Mina Moussavian-assadi's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mina Moussavian-assadi enrolled in Medicare?

Yes. Mina Moussavian-assadi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mina Moussavian-assadi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mina Moussavian-assadi reassigns Medicare benefits to Providence Facey Medical Foundation (Valencia, 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 Mina Moussavian-assadi'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 Mina Moussavian-assadi was last updated on August 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.