BLAIR NICOLE MOSTOFI R.N.
NPI 1780947861
Nurse Anesthetist, Certified Registered in Panorama City, CA
About Blair Nicole Mostofi R.n. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLAIR NICOLE MOSTOFI R.N. (NPI 1780947861) is an individual nurse anesthetist, certified registered in Panorama City, California, licensed in California (4290) and active in the NPI registry since June 2012. She is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
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
Blair Nicole Mostofi R.n. 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 Blair Mostofi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Panorama City, CA 91402
- 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91402 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Blair Mostofi's NPI number?
The NPI number for Blair Mostofi is 1780947861. It was assigned to this individual provider in the NPPES registry on June 22, 2012. The provider is also known as Blair Nicole Mease.
Where is Blair Mostofi located?
Blair Mostofi practices at 13651 Willard St., Panorama City, CA 91402. The listed phone number is (818) 375-2000.
What is Blair Mostofi's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Blair Mostofi enrolled in Medicare?
Yes. Blair Mostofi 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 Blair Mostofi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Blair Mostofi reassigns Medicare benefits to Southern California Permanente Medical Group (Panorama City, 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 Blair Mostofi'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 Blair Mostofi was last updated on December 6, 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.
# Blair Nicole Mostofi, R.N. · NPI 1780947861
Nurse Anesthetist, Certified Registered physician in Panorama City, California. Individual provider, active in the CMS NPPES registry since June 22, 2012.
## Identity
- **NPI:** 1780947861 (Entity type: Individual)
- **Enumerated:** June 22, 2012
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 4290 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 13651 WILLARD ST., Panorama City, CA 91402
- **Phone:** (818) 375-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1407888928, Panorama City, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** December 6, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1780947861) · Data from the CMS NPPES public registry.