DR. MARIAM S MOSTAMANDY (MD) – Diagnostic Radiology Physician, NPI 1225666209

DR. MARIAM S MOSTAMANDY (MD) is a healthcare provider. based in Los angeles, California. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. A188622 (CA). The NPI Number for DR. MARIAM S MOSTAMANDY (MD) is 1225666209

Main info

Female
6 Years Of Experience
Name
DR. MARIAM S MOSTAMANDY (MD)
NPI
1225666209
Phone
Not provided
Address
4733 W SUNSET BLVD FL 3
Enumeration Date
27 March 2020
Last Update Date
18 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9252967150
Graduation Year
2020 (6 years ago)
PAC ID
4284080888
Group Practice PAC ID
9032019625
Professional Enrollment ID
I20240408000956
Address ID
CA956307385FO4305XCIRX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness95
Years active:6State licenses:1Other names

4,812 DIAGNOSTIC RADIOLOGY in CA

Provider Addresses for DR. MARIAM S MOSTAMANDY (MD)

  • 4733 W SUNSET BLVD FL 3

    LOS ANGELES, CA 900276021

    Phone:

    Type: Mailing

  • 1800 N CALIFORNIA ST

    STOCKTON, CA 952046019

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-08

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240408000956IDiagnostic RadiologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90027)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032019625View full group profile
NameSpecialtyState
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Interventional Radiology, Diagnostic Radiology, Diagnostic RadiologyCA
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Diagnostic RadiologyCA
-CT
Diagnostic RadiologyOH
Diagnostic RadiologyCA
Diagnostic RadiologyCA

Reviews

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Frequently asked questions

How is DR. MARIAM S MOSTAMANDY (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. MARIAM S MOSTAMANDY (MD) with NPI 1225666209.
Is DR. MARIAM S MOSTAMANDY (MD) listed as active for patients and plans?
The listing shows DR. MARIAM S MOSTAMANDY (MD) as active in the NPI system.
What taxonomy line describes DR. MARIAM S MOSTAMANDY (MD)?
For research purposes, treat DR. MARIAM S MOSTAMANDY (MD) as Diagnostic Radiology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DR. MARIAM S MOSTAMANDY (MD) on a map?
Expect Los Angeles, California as a primary anchor for DR. MARIAM S MOSTAMANDY (MD) unless the record lists multiple sites.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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