BOBECK S MODJTAHEDI M.D.
NPI 1922235035
Ophthalmology in Baldwin Park, CA
About Bobeck S Modjtahedi M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOBECK S MODJTAHEDI M.D. (NPI 1922235035) is an individual ophthalmology provider in Baldwin Park, California, licensed in California (A114567) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2009).
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
Bobeck S Modjtahedi M.d. 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 Reassignments
4Medicare enrollment records show Bobeck Modjtahedi reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baldwin Park, CA 91706
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Denver, CO 80247
- Reassigned Medicare billing, Colorado enrollment
- Medicare enrollment name: Colorado Permanente Medical Group PC
- 1,715 clinicians in this Medicare group
Atlanta, GA 30305
- Reassigned Medicare billing, Georgia enrollment
- 1,389 clinicians in this Medicare group
Honolulu, HI 96819
- Reassigned Medicare billing, Hawaii enrollment
- 1,187 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 91706 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BALDWIN PARK, CA 91706
BALDWIN PARK, CA 91706
BALDWIN PARK, CA 91706
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 Bobeck Modjtahedi's NPI number?
The NPI number for Bobeck Modjtahedi is 1922235035. It was assigned to this individual provider in the NPPES registry on June 16, 2009.
Where is Bobeck Modjtahedi located?
Bobeck Modjtahedi practices at 1011 Baldwin Park Blvd, Baldwin Park, CA 91706. The listed phone number is (626) 851-6106.
What is Bobeck Modjtahedi's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Bobeck Modjtahedi enrolled in Medicare?
Yes. Bobeck Modjtahedi 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 organizations bill Medicare for Bobeck Modjtahedi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bobeck Modjtahedi reassigns Medicare benefits to 4 organizations: Southern California Permanente Medical Group (Baldwin Park, CA), Colorado Permanente Medical Group, P.C. (Denver, CO), The Southeast Permanente Medical Group (Atlanta, GA) and Hawaii Permanente Medical Group Inc (Honolulu, HI). Each 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 Bobeck Modjtahedi'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 Bobeck Modjtahedi was last updated on December 2, 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.
# Bobeck S Modjtahedi, M.D. · NPI 1922235035
Ophthalmology physician in Baldwin Park, California. Individual provider, active in the CMS NPPES registry since June 16, 2009.
## Identity
- **NPI:** 1922235035 (Entity type: Individual)
- **Enumerated:** June 16, 2009
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** A114567 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1011 BALDWIN PARK BLVD, Baldwin Park, CA 91706-5806
- **Phone:** (626) 851-6106
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Southern California Permanente Medical Group (NPI 1770515280, Baldwin Park, CA); Colorado Permanente Medical Group, P.C. (NPI 1760599724, Denver, CO); The Southeast Permanente Medical Group (NPI 1245266956, Atlanta, GA); Hawaii Permanente Medical Group Inc (NPI 1710945969, Honolulu, HI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** December 2, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1922235035) · Data from the CMS NPPES public registry.