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

KEVIN KEON MAHMOUDI
NPI 1679159479
Radiology - Diagnostic Radiology in Los Angeles, CA

Active since March 22, 2021PECOS Enrolled
757 WESTWOOD PLZ, LOS ANGELES, CA 90095(310) 825-9111 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 6, 2026, Mar 22, 2021 (2 updates tracked since 2021).

About Kevin Keon Mahmoudi NPPES

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

KEVIN KEON MAHMOUDI (NPI 1679159479) is an individual diagnostic radiology provider in Los Angeles, California, licensed in California (A182550) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in San Francisco.

NPPES Registry Identity

NPI1679159479
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameKEVIN KEON MAHMOUDI
Location Address757 WESTWOOD PLZLos Angeles, CA 90095-1101
Mailing Address1100 Van Ness Ave Fl 3San Francisco, CA 94109-6978
Phone(310) 825-9111
Sole ProprietorNo
Enumeration DateMarch 22, 2021
Last NPPES UpdateOctober 6, 20262 updates tracked since enumeration
NPPES CertifiedOctober 6, 2026
✔ NPI 1679159479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in CA · A182550
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
757 WESTWOOD PLZ, Los Angeles, CA 90095
Open in Google Maps ↗

Secondary Practice Location 1

Location 11100 Van Ness Ave Fl 3San Francisco, CA 94109-6978 · Phone (415) 600-0140

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Keon Mahmoudi 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 90095 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
$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.

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.

CATHERINE CHA MD
Anesthesiology
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 825-8041
DR. TIFFANY PRUGPICHAILERS PEDIGO M.D.
Pediatrics
757 WESTWOOD PLZ, B711 RRUMC
LOS ANGELES, CA 90095
Los Angeles County (310) 267-9129
SAMRAWIT ABRAHA
Anesthesiology
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 267-6629
KEN DEKITANI
Internal Medicine
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 267-7849
JACQUELINE LABINS MD
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 267-0903
JYODI DINESH MOHOLE MD
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 267-9132
JASON THAMES HUYNH MD
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 825-7375
BRITTANY CHY MD
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 267-8655

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 Kevin Mahmoudi's NPI number?

The NPI number for Kevin Mahmoudi is 1679159479. It was assigned to this individual provider in the NPPES registry on March 22, 2021.

Where is Kevin Mahmoudi located?

Kevin Mahmoudi practices at 757 Westwood Plz, Los Angeles, CA 90095. The listed phone number is (310) 825-9111.

What is Kevin Mahmoudi's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Kevin Mahmoudi enrolled in Medicare?

Yes. Kevin Mahmoudi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin Mahmoudi was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.