KHOSROW MAHDAVI, M.D., INC (NPI# 1124229554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124229554 |
| Entity Type | Organization |
| Organization Name | KHOSROW MAHDAVI, M.D., INC |
| Practice Address |
4000 W Coast Hwy Suite 3d Newport Beach CA 92663-2695 |
| Practice Telephone | 9496428566 |
| Practice Fax Number | 9496420746 |
| Mailing Telephone | 9496428566 |
| Mailing Fax Number | 9496420746 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. KHOSROW MAHDAVI (PRESIDENT) |
| Authorized Official Telephone | 9496428566 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
A33589 | CA | Ambulatory Health Care Facilities |
| X | 261QX0200X |
Clinic/Center Specialization: Oncology |
A33589 | CA | Ambulatory Health Care Facilities |
| Street Address |
4000 W COAST HWY SUITE 3D |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92663-2695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851905483 | Oasis Anesthesia, Surgical and Medical Group, Inc | Anesthesiology | 496 Old Newpor Blvd., Suite 2, Newport Beach, CA 92663 | 2020-09-01 |
| 1699232801 | Megan Gregor | Surgery | One Hoag Dr., Bldg 41, Ste 122, Newport Beach, CA 92663 | 2019-02-24 |
| 1831621382 | Narges Maududi | Social Worker | 1965 Sherrington Place, K111, Newport Beach, CA 92663 | 2017-04-03 |
| 1225495153 | Mitchelle Giorgi | Physical Therapist | 351 Hospital Road, Suite 007, Newport Beach, CA 92663 | 2016-01-22 |
| 1043620057 | Leslie Mccormack | Speech-Language Pathologist | 270 Cagney Lane #101, Newport Beach, CA 92663 | 2014-04-29 |
| 1265867162 | Hotel California By The Sea, LLC | Substance Abuse Rehabilitation Facility | 4504 Seashore Drive, Newport Beach, CA 92663 | 2013-09-10 |
| 1538504733 | Shawn Zardouz | Psychiatry & Neurology | 3900 W Coast Hwy Ste 390, Newport Beach, CA 92663 | 2013-05-02 |
| 1326330119 | Denise Fortenberry Fortenberry-gratias | Nurse Practitioner | 520 Superior Ave, Suite 350, Newport Beach, CA 92663 | 2011-05-11 |
| 1043500390 | Romit Kumar Kar | Pediatrics | 355 Placentia Ave Ste 301, Newport Beach, CA 92663 | 2011-04-07 |
| 1477858546 | Newport Neurohospitalists | Neurological Surgery | 510 Superior Ave Ste 280, Newport Beach, CA 92663 | 2011-01-20 |
| Find all providers in zip 92663 | ||||
| Taxonomy Code | 261QI0500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Infusion Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568960904 | Thrive Rejuvenation Inc | Clinic/Center | 355 Placentia Ave Ste 307, Newport Beach, CA 92663-3303 | 2018-01-31 |
| 1699197269 | Uci Department of Medicine | Clinic/Center | 361 Hospital Rd, Newport Beach, CA 92663-3522 | 2014-01-15 |
| 1679861736 | Trina Health of Newport Beach, LLC | Clinic/Center | 1525 Superior Ave, Ste 214, Newport Beach, CA 92663-3639 | 2011-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707189 | California Infusion Therapy Inc | Clinic/Center | 7407 N Cedar Ave Ste 104, Fresno, CA 93720-3839 | 2020-10-10 |
| 1104433358 | Hot Clinic Inc. | Clinic/Center | 16550 Ventura Blvd Ste 314, Encino, CA 91436-2004 | 2020-09-30 |
| 1760005250 | Alcheme Health | Clinic/Center | 2308 Kettner Blvd, San Diego, CA 92101-1283 | 2020-05-19 |
| 1275168486 | Southern California Infusion Therapy, Inc. | Clinic/Center | 301 S Fair Oaks Ave Ste 301, Pasadena, CA 91105-2562 | 2020-03-09 |
| 1063045482 | Satori Center for Wellbeing | Clinic/Center | 69730 Highway 111 Ste 113, Rancho Mirage, CA 92270-2873 | 2020-02-13 |
| 1811537756 | Sherman Infusion Services Inc | Clinic/Center | 1510 S Central Ave Ste 640, Glendale, CA 91204-2552 | 2020-01-08 |
| 1104476480 | Kic 2 | Clinic/Center | 6313 Schirra Ct Ste A1, Bakersfield, CA 93313-2191 | 2019-09-18 |
| 1962050096 | Harpers Pharmacy Inc | Clinic/Center | 132 S Anita Dr Ste A, Orange, CA 92868-3317 | 2019-09-02 |
| 1376199158 | Stem Cell Therapeutics La LLC | Clinic/Center | 435 Arden Ave Ste 420, Glendale, CA 91203-4021 | 2019-08-16 |
| 1033779947 | Total Infusion, Inc. | Clinic/Center | 6955 Foothill Blvd # 67a, Oakland, CA 94605-2455 | 2019-06-13 |
| Find all providers with the same taxonomy | ||||
| City | NEWPORT BEACH |
| Zip Code | 92663 |
Please comment or provide details below to improve the information on KHOSROW MAHDAVI, M.D., INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.