Individual provider Active NPI

Samar Mahdavi

  • Marriage & Family Therapist
  • Laguna Hills, CA
National Provider Identifier
1053204016
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
154399 Issued in CA
Practice address
23276 S Pointe Dr Ste 105
Laguna Hills, CA 92653-1430
Phone
(949) 735-0500
NPI assigned
May 29, 2025
Last updated
May 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2025

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 154399 CA Primary

Addresses

Primary practice location

23276 S Pointe Dr Ste 105
Laguna Hills, CA 92653-1430

Mailing address

17 Copps Hill St
Laguna Niguel, CA 92677-4705
Phone (949) 973-2552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
154399CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Solution Focused Family Counseling Inc Marriage & Family Therapist CurrentSince Jun 3, 2025 Accepting new patients

Locations

23276 S Pointe Dr
Ste 105
Laguna Hills, CA 92653
Phone (949) 413-7259

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1748476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1053204016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 COPPS HILL ST",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926774705",
            "telephone_number": "949-973-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23276 S POINTE DR STE 105",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531430",
            "telephone_number": "949-735-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHDAVI",
        "first_name": "SAMAR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "154399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.