Individual provider Active NPI

Mani Vahidi, MD, MHDS

  • Psychiatry Physician
  • Newport Beach, CA
National Provider Identifier
1134758063
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A191251 Issued in CA
Practice address
4063 Birch St Ste 220
Newport Beach, CA 92660-2241
Phone
(949) 229-5708
Fax
(334) 269-7996
NPI assigned
Apr 2, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A191251 CA Primary

Addresses

Primary practice location

4063 Birch St Ste 220
Newport Beach, CA 92660-2241

Mailing address

PO Box 251751
Los Angeles, CA 90025-9133

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260521003031 CA Practitioner - Psychiatry 8224578422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4631 Teller Ave
Suite 100
Newport Beach, CA 92660-8105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A191251CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Psychiatry & Mental Health, Professional Corporation Psychiatry Current Accepting new patients

Locations

4631 Teller Ave
Ste 100
Newport Beach, CA 92660
Phone (949) 335-7500

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1134758063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251751",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900259133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4063 BIRCH ST STE 220",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602241",
            "telephone_number": "949-229-5708",
            "fax_number": "334-269-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAHIDI",
        "first_name": "MANI",
        "name_prefix": "Dr.",
        "credential": "MD, MHDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-02",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A191251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.