Khosrow Mahdavi, M.D., Inc

Primary specialty

Oncology Clinic/CenterTaxonomy code 261QX0200X

License

A33589 Issued in CA

Legal business name

KHOSROW MAHDAVI, M.D., INC

Practice address

4000 W Coast Hwy
Suite 3D
Newport Beach, CA 92663-2695

Phone

(949) 642-8566

Fax

(949) 642-0746

NPI assigned

May 31, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Khosrow Mahdavi, MD

Title

President

Phone

(949) 642-8566

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1124229554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 W COAST HWY",
            "address_2": "SUITE 3D",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926632695",
            "telephone_number": "949-642-8566",
            "fax_number": "949-642-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 W COAST HWY",
            "address_2": "SUITE 3D",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926632695",
            "telephone_number": "949-642-8566",
            "fax_number": "949-642-0746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHOSROW MAHDAVI, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MAHDAVI",
        "authorized_official_first_name": "KHOSROW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-642-8566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "CA",
            "license": "A33589",
            "primary": false
        },
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": "CA",
            "license": "A33589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farzaneh Khazrai, PH.D. MFT
• Kevin Kheder, M.D.
• Sanaz Khorrami, M.D.
• Niloufar Khorshid
• Shivani A Khosla, M.S. BCBA
• Nesreen Khouraki, RD
• Jenni Khoury, MA
• Atef Khouzam, M.D
• Masoumeh M Kiahashemi, MFT
• Kiana Taba, MD, Inc.

• Oncology Clinic/Center in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Oncology Clinic/Center in California

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.