Minoo Mahmoudi, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

C160570 Issued in CA

Practice address

8920 Wilshire Blvd Ste 425
Beverly Hills, CA 90211

Phone

(310) 746-4395

Fax

(310) 432-7065

NPI assigned

Feb 5, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 9, 2023 through Mar 9, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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.

• Mark David Levine, MD Burlingame PC

  • Psychiatry Physician
  • San Mateo, CA
  • NPI 1770709263
  NPD (past)

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1063977049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8920 WILSHIRE BLVD STE 425",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112004",
            "telephone_number": "310-746-4395",
            "fax_number": "310-432-7065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8920 WILSHIRE BLVD STE 425",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90211",
            "telephone_number": "310-746-4395",
            "fax_number": "310-432-7065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 S Barrington Ave Apt 314",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900494357",
            "country_code": "US",
            "telephone_number": "650-388-8617",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 S Barrington Ave Apt 314",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900494357",
            "country_code": "US",
            "telephone_number": "650-388-8617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHMOUDI",
        "first_name": "MINOO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-05",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C160570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atousa Mahdavi, CHIROPRACTOR
• Jon P Maher, MFT
• Arnold Myooran Mahesan, MD
• Mahesh S Desilva MD a Medical Corporation
• Mahkameh Soleimani-Farnad DDS, Inc.
• Jamie Mahtaban, D.C.
• Makenna Alex Maimin
• Elaine Majuan, MS, CF- SLP
• Mak Diagnostic Services, Inc.
• Jacklin Makabi, RDH

• Psychiatry Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.