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MINA MORTEZAI D.O.
NPI 1770547325
Internal Medicine in West Hills, CA

Active since April 12, 2006PECOS Enrolled
22110 ROSCOE BLVD, WEST HILLS, CA 91304(818) 888-8042 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mina Mortezai D.o. NPPES

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

MINA MORTEZAI D.O. (NPI 1770547325) is an individual internal medicine provider in West Hills, California, licensed in California (20A7240) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770547325
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMINA MORTEZAICredential: D.O.
Location Address22110 ROSCOE BLVDWest Hills, CA 91304-3875
Mailing AddressPo Box 4315West Hills, CA 91308-4315 · (818) 585-1910
Phone(818) 888-8042
Sole ProprietorNo
Enumeration DateApril 12, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1770547325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · 20A7240
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
22110 ROSCOE BLVD, West Hills, CA 91304
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mina Mortezai D.o. 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 Mortezai reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Abm Medical Clinic, Inc.
3.6 mi
Health Service
22554 VENTURA BLVD STE 201, STE 201
Woodland Hills, CA 91364
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1497944557 (818) 222-8042

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 91304 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
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.

MY GASTRO WELLNESS. LLC
Internal Medicine (Gastroenterology)
22110 ROSCOE BLVD, SUITE 201
CANOGA PARK, CA 91304
Los Angeles County (747) 204-4177
KELLY WILLARD
Case Manager/Care Coordinator
22110 ROSCOE BLVD, SUITE 204
CANOGA PARK, CA 91304
Los Angeles County (818) 713-8700
VALLEY FOOT HEALTH CTR INC
Podiatrist
22110 ROSCOE BLVD, #201
CANOGA PARK, CA 91304
Los Angeles County (818) 716-6964
DR. EDGAR LACANLALE MASANGKAY D.C.
Chiropractor
22110 ROSCOE BLVD, #103
WEST HILLS, CA 91304
Los Angeles County (818) 716-9924
MS. SUSAN E BURGER F.N.P
Nurse Practitioner (Women's Health)
22110 ROSCOE BLVD, SUITE 104
WEST HILLS, CA 91304
Los Angeles County (818) 704-6696
VALLEY WOMEN'S CENTER
Case Management
22110 ROSCOE BLVD, SUITE 204
CANOGA PARK, CA 91304
Los Angeles County (818) 713-8700
SUSAN ARMOUR
Counselor (Addiction (Substance Use Disorder))
22110 ROSCOE BLVD
CANOGA PARK, CA 91304
Los Angeles County (818) 713-8700
LEADING MEDICAL GROUP INC.
Physical Medicine & Rehabilitation (Pain Medicine)
22110 ROSCOE BLVD, SUITE 304
WEST HILLS, CA 91304
Los Angeles County (818) 703-1511

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 Mortezai's NPI number?

The NPI number for Mina Mortezai is 1770547325. It was assigned to this individual provider in the NPPES registry on April 12, 2006.

Where is Mina Mortezai located?

Mina Mortezai practices at 22110 Roscoe Blvd, West Hills, CA 91304. The listed phone number is (818) 888-8042.

What is Mina Mortezai's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mina Mortezai enrolled in Medicare?

Yes. Mina Mortezai is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mina Mortezai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mina Mortezai reassigns Medicare benefits to Abm Medical Clinic, Inc. (Woodland Hills, 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 Mortezai'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 Mortezai was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.