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BASSAM MOUAZZEN M.D., P.C.
NPI 1730348830
Internal Medicine - Cardiovascular Disease in Glendora, CA

Active since June 03, 2008
415 W ROUTE 66, SUITE 101, GLENDORA, CA 91740(626) 852-9986 Get Directions Write a Review

NPPES record last updated: June 3, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bassam Mouazzen M.d., P.c. NPPES

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

BASSAM MOUAZZEN M.D., P.C. (NPI 1730348830) is a healthcare organization registered as a cardiovascular disease in Glendora, California and active in the NPI registry since June 2008. The organization lists Bassam Mouazzen, President, as its authorized official.

NPPES Registry Identity

NPI1730348830
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameBASSAM MOUAZZEN M.D., P.C.
Location Address415 W ROUTE 66, SUITE 101Glendora, CA 91740-4335
Mailing AddressPo Box 1939Glendora, CA 91740-1939 · (626) 852-9986
Phone(626) 852-9986
Organization SubpartNo
Authorized OfficialBassam MouazzenPresident · (626) 852-9986
Enumeration DateJune 3, 2008
✔ NPI 1730348830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in CA · C43066
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
415 W ROUTE 66, Glendora, CA 91740
Open in Google Maps ↗

Other Identifiers 2

Medicaid00C430661CA
Medicare UPINB03379CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bassam Mouazzen M.d., P.c. 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 Bassam Mouazzen M.D., P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Bassam Mouazzen, M.D.
Cardiovascular Disease (Cardiology)
NPI 1952492712
415 W ROUTE 66 SUITE 101
Glendora, CA 91740
(626) 852-9986
✔ PECOS✔ Accepts Medicare0.6 mi

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 Bassam Mouazzen M.D., P.C.'s NPI number?

The NPI number for Bassam Mouazzen M.D., P.C. is 1730348830. It was assigned to this organization in the NPPES registry on June 3, 2008.

Where is Bassam Mouazzen M.D., P.C. located?

Bassam Mouazzen M.D., P.C. is located at 415 W Route 66 Suite 101, Glendora, CA 91740. The listed phone number is (626) 852-9986.

What is Bassam Mouazzen M.D., P.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Bassam Mouazzen M.D., P.C. enrolled in Medicare?

Yes. Bassam Mouazzen M.D., P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bassam Mouazzen M.D., P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Cardiovascular Disease (Cardiology)) reassigns their Medicare billing to Bassam Mouazzen M.D., P.C.. 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 Bassam Mouazzen M.D., P.C. was last updated on June 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.