Organization Active NPI

Mokhtare MD, Professional Corporation

  • Family Medicine Physician
  • Corona del Mar, CA
National Provider Identifier
1205652146
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Oct 24, 2025

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

Authorized official

Name
Shahrzad Mokhtare, MDNPI 1912481334
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.