WASIM MOUAZZEN M.D., INC.
NPI 1699507160
Clinic/Center - Primary Care in Glendora, CA
About Wasim Mouazzen M.d., Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WASIM MOUAZZEN M.D., INC. (NPI 1699507160) is a healthcare organization registered as a primary care in Glendora, California and active in the NPI registry since August 2024. The organization lists Wasim Mouazzen, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wasim Mouazzen M.d., Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Wasim Mouazzen M.D., Inc., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Wasim Mouazzen M.D., Inc.'s NPI number?
The NPI number for Wasim Mouazzen M.D., Inc. is 1699507160. It was assigned to this organization in the NPPES registry on August 14, 2024.
Where is Wasim Mouazzen M.D., Inc. located?
Wasim Mouazzen M.D., Inc. is located at 415 W Route 66 Ste 101, Glendora, CA 91740. The listed phone number is (626) 327-2763.
What is Wasim Mouazzen M.D., Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Wasim Mouazzen M.D., Inc. enrolled in Medicare?
Yes. Wasim Mouazzen M.D., Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wasim Mouazzen M.D., Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Hospitalist) reassigns their Medicare billing to Wasim Mouazzen M.D., Inc.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Wasim Mouazzen M.D., Inc. was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Wasim Mouazzen M.d., Inc. · NPI 1699507160
Primary Care organization in Glendora, California. Organization record, active in the CMS NPPES registry since August 14, 2024.
## Identity
- **NPI:** 1699507160 (Entity type: Organization)
- **Enumerated:** August 14, 2024
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Wasim Mouazzen, PRESIDENT
## Practice location
- **Address:** 415 W ROUTE 66 STE 101, Glendora, CA 91740-4335
- **Phone:** (626) 327-2763
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Hospitalist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 27, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1699507160) · Data from the CMS NPPES public registry.