Organization Active NPI

Yonatan Mahller MD PHD Inc

  • Obstetrics & Gynecology Physician
  • Newport Beach, CA
National Provider Identifier
1063833184
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A117135 Issued in CA
Legal business name
YONATAN MAHLLER MD PHD INC
Practice address
320 Superior Ave Ste 290
Newport Beach, CA 92663-6140
Phone
(949) 375-8244
Fax
(949) 398-9812
NPI assigned
Dec 16, 2013
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Yonatan Mahller, MD PHDNPI 1396977930
Title
Ceo
Phone
(513) 304-1011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X A117135 CA Primary

Addresses

Primary practice location

320 Superior Ave Ste 290
Newport Beach, CA 92663-6140

Mailing address

320 Superior Ave Ste 290
Newport Beach, CA 92663-6140
Phone (949) 375-8244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140514001412 CA Part B Supplier - Clinic/Group Practice 1254560022 Receives reassigned benefits from 1 practitioner
Practice locations: Newport Beach, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1063833184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SUPERIOR AVE STE 290",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926636140",
            "telephone_number": "949-375-8244",
            "fax_number": "949-398-9812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SUPERIOR AVE STE 290",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926636140",
            "telephone_number": "949-375-8244",
            "fax_number": "949-398-9812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YONATAN MAHLLER MD PHD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-16",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MAHLLER",
        "authorized_official_first_name": "YONATAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-304-1011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PHD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A117135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.