Mahtab Javed Siddiqui

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

134120 Issued in CA

Practice address

18173 Pioneer Blvd Ste I
Artesia, CA 90701-3986

Phone

(562) 403-0488

NPI assigned

Jan 15, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846
  Medicare reassignment
• South Asian Network, Inc

  • Health Educator
  • Artesia, CA
  • NPI 1003747601
  NPD (past)

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1053951269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18173 PIONEER BLVD STE I",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907013986",
            "telephone_number": "562-403-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18173 PIONEER BLVD STE I",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907013986",
            "telephone_number": "562-403-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVED SIDDIQUI",
        "first_name": "MAHTAB",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-15",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "107014",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "134120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ken Iwaki, D.C.
• Mayra Lupe Jacobo
• Arash Jahanbakhsh, DMD
• Anasuyaben Dahyalal Jani, NP
• Michael Tuazon Jarvina
• Jenymel'S Home
• Jiandce Biomedical Research
• Amanda Christina Jilk, LMFT
• Yongil Jin, DDS
• Hyun Joe, PHARM D

• Clinical Social Worker in Artesia, CA
• Providers in Artesia, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.