Individual provider Active NPI

Hadi Estakhri, M.D.

  • Psychiatry Physician
  • Newport Beach, CA
National Provider Identifier
1003161522
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
147068 Issued in CA
Practice address
1401 Dove St Ste 420
Newport Beach, CA 92660-2420
Phone
(949) 945-0927
NPI assigned
Jul 20, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 83602 GA
Psychiatry Physician 2084P0800X 4301500270 MI
Psychiatry Physician 2084P0800X 284736 NY
Psychiatry Physician 2084P0800X 2019-01992 NC
Psychiatry Physician 2084P0800X 58724 AZ
Psychiatry Physician 2084P0800X MD2019-0769 NM
Psychiatry Physician 2084P0800X MD193268 OR
Addiction Psychiatry Physician 2084P0802X 147068 CA
Psychiatry Physician 2084P0800X 147068 CA Primary

Addresses

Primary practice location

1401 Dove St Ste 420
Newport Beach, CA 92660-2420

Mailing address

1401 Dove St Ste 420
Newport Beach, CA 92660-2420
Phone (949) 945-0927

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160226001902 MA Practitioner - Psychiatry 5294030367 Reassigns benefits to 2 organizations
I20170818002114 CA Practitioner - PsychiatryPractitioner - Addiction Medicine 5294030367 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allied Psychiatry and Mental HealthGroup PAC ID 6608117346, 2 clinicians

Practice addresses (Care Compare)

1401 Dove St
Suite 420
Newport Beach, CA 92660-2420
Phone (949) 945-0927

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
147068CAMDMental Health Counselor
58724AZMDPsychiatry Physician
83602GAMDPsychiatry Physician
4301500270MIMDPsychiatry Physician
2019-01992NCMDPsychiatry Physician
MD2019-0769NMMDPsychiatry Physician
284736NYMDPsychiatry Physician
MD193268ORMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Telecare Corporation CurrentSince Jul 17, 2017 Accepting new patients
Allied Psychiatry and Mental Health Psychiatry CurrentSince Aug 13, 2018 Accepting new patients
Telecare Corporation CurrentSince Jul 17, 2017 Accepting new patients
Mass General Brigham Medical Group Suburban Massachusetts Inc CurrentSince Dec 12, 2015 Accepting new patients
The McLean Hospital Corporation Psychiatry CurrentSince Jan 20, 2016 Accepting new patients
Telecare Corporation Current Accepting new patients

Locations

1080 Marina Village Pkwy
Ste 100
Alameda, CA 94501
Phone (510) 306-5660

1401 Dove St
Ste 420
Newport Beach, CA 92660
Phone (949) 220-2566

2100 N Broadway
Ste 101
Santa Ana, CA 92706
Phone (714) 245-6881

115 Mill St
Belmont, MA 02478
Phone (617) 855-2000

23 Isaac St
Middleboro, MA 02346
Phone (774) 419-1000

2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000

Organizations & group practices 6

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": "1342742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1003161522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 DOVE ST STE 420",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602420",
            "telephone_number": "949-945-0927",
            "fax_number": "949-269-6263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 DOVE ST STE 420",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602420",
            "telephone_number": "949-945-0927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTAKHRI",
        "first_name": "HADI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-20",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "83602",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301500270",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "284736",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2019-01992",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "58724",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NM",
            "license": "MD2019-0769",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD193268",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "CA",
            "license": "147068",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "147068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.