DR. ALI R MOAZZAMI MD
NPI 1720576168
Student in an Organized Health Care Education/Training Program in Rancho Mirage, CA
About Dr. Ali R Moazzami Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ALI R MOAZZAMI MD (NPI 1720576168) is an individual student in an organized health care education/training program in Rancho Mirage, California and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Ali R Moazzami Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Ali Moazzami reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92120
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
RANCHO MIRAGE, CA 92270
RANCHO MIRAGE, CA 92270
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 Ali Moazzami's NPI number?
The NPI number for Ali Moazzami is 1720576168. It was assigned to this individual provider in the NPPES registry on May 1, 2018.
Where is Ali Moazzami located?
Ali Moazzami practices at 39000 Bob Hope Dr, Rancho Mirage, CA 92270. The listed phone number is (760) 340-8248.
What is Ali Moazzami's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Ali Moazzami enrolled in Medicare?
Yes. Ali Moazzami is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Ali Moazzami's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ali Moazzami reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, 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 Ali Moazzami'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 Ali Moazzami was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Ali R Moazzami, MD · NPI 1720576168
Student in an Organized Health Care Education/Training Program provider in Rancho Mirage, California. Individual provider, active in the CMS NPPES registry since May 1, 2018.
## Identity
- **NPI:** 1720576168 (Entity type: Individual)
- **Enumerated:** May 1, 2018
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 39000 BOB HOPE DR, Rancho Mirage, CA 92270-3221
- **Phone:** (760) 340-8248
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1225060742, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** November 30, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1720576168) · Data from the CMS NPPES public registry.