Active NPI
Mokhtare MD, Professional Corporation
- Family Medicine Physician
- Corona del Mar, CA
National Provider Identifier
1205652146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MOKHTARE MD, PROFESSIONAL CORPORATION
- Practice address
- 2865 E Coast Hwy Unit 120
Corona del Mar, CA 92625-2236 - Phone
- (866) 278-2204
- NPI assigned
- Nov 25, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shahrzad Mokhtare, MD
- Title
- President
- Phone
- (949) 735-1632
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2865 E Coast Hwy Unit 120
Corona del Mar, CA 92625-2236
Mailing address
3141 Michelson Dr Unit 1704
Irvine, CA 92612-5675
Phone (949) 287-6357
National Provider Directory
National Provider DirectoryLocations
2865 E Coast Hwy
Unit 120
Corona del Mar, CA 92625
Phone (866) 278-2204
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Corona del Mar, CA
- NPI 1912481334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732492800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761264000000",
"number": "1205652146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3141 MICHELSON DR UNIT 1704",
"city": "IRVINE",
"state": "CA",
"postal_code": "926125675",
"telephone_number": "949-287-6357",
"fax_number": "888-462-5010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2865 E COAST HWY UNIT 120",
"city": "CORONA DEL MAR",
"state": "CA",
"postal_code": "926252236",
"telephone_number": "866-278-2204"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOKHTARE MD, PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-25",
"last_updated": "2025-10-24",
"certification_date": "2025-10-24",
"status": "A",
"authorized_official_last_name": "MOKHTARE",
"authorized_official_first_name": "SHAHRZAD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "949-735-1632",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corona del Mar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.