Individual provider Active NPI

David Safani, MD, MBA

  • Child & Adolescent Psychiatry Physician
  • Newport Beach, CA
National Provider Identifier
1003133521
Registry record updated Sep 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
A119973 Issued in CA
Practice address
20377 SW Acacia St Ste 200
Newport Beach, CA 92660-1780
Phone
(949) 371-9551
NPI assigned
Apr 23, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Informatics Physician 2083C0008X A119973 CA
Psychiatry Physician 2084P0800X A119973 CA
Child & Adolescent Psychiatry Physician 2084P0804X A119973 CA Primary

Addresses

Primary practice location

20377 SW Acacia St Ste 200
Newport Beach, CA 92660-1780

Mailing address

20377 SW Acacia St Ste 200
Newport Beach, CA 92660-1780
Phone (949) 371-9551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150721000420 CA Practitioner - Psychiatry 3375856396 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A119973CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Green Meadows Mind Health, Inc. Current Accepting new patients
Newport Psychiatry Inc Psychiatry Current Accepting new patients
Uci Psych Practice Group Psychiatry Past Accepting new patients
UC Irvine Health - Dept. of Psychiatry Past Accepting new patients

Locations

20377 SW Acacia St
Ste 200
Newport Beach, CA 92660
Phone (949) 371-9551

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694304000000",
    "number": "1003133521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20377 SW ACACIA ST STE 200",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601780",
            "telephone_number": "949-371-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20377 SW ACACIA ST STE 200",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601780",
            "telephone_number": "949-371-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFANI",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-23",
        "last_updated": "2023-09-10",
        "certification_date": "2023-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083C0008X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Clinical Informatics",
            "state": "CA",
            "license": "A119973",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A119973",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A119973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.