Individual provider Active NPI

Mahtaab Khanjari, LMFT 143442

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1043979636
Registry record updated Dec 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
8775 Aero Dr Ste 240
San Diego, CA 92123-1756
Phone
(619) 363-1440
NPI assigned
Dec 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

8775 Aero Dr Ste 240
San Diego, CA 92123-1756

Mailing address

6314 Friars Rd Unit 310
San Diego, CA 92108-1016
Phone (952) 465-7226

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260304003247 CA Practitioner - Marriage and Family Therapist 1557849338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

790 Pebble Beach Dr
San Marcos, CA 92069-1183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Delgado Family Counseling Inc Marriage & Family Therapist CurrentSince Jan 29, 2026 Accepting new patients
Illuminate Within Family Therapy Professional Corporation Marriage & Family Therapist Current Accepting new patients

Locations

197 Woodland Pkwy
Ste 104
San Marcos, CA 92069
Phone (760) 410-6785

Organizations & group practices 2

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": "1639180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702771200000",
    "number": "1043979636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6314 FRIARS RD UNIT 310",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081016",
            "telephone_number": "952-465-7226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8775 AERO DR STE 240",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231756",
            "telephone_number": "619-363-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANJARI",
        "first_name": "MAHTAAB",
        "credential": "LMFT 143442",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-11",
        "last_updated": "2023-12-17",
        "certification_date": "2023-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.