Active NPI
Vineeth Gireesh Mohan, MD
- Psychiatry Physician
- Gardena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME172997
- Practice address
- 1225 W 190TH St Ste 280
Gardena, CA 90248-4305 - Phone
- (877) 515-8113
- Fax
- (877) 538-2102
- NPI assigned
- Apr 7, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME172997 | FL | Primary |
| Psychiatry Physician | 2084P0800X | A202420 | CA |
Addresses
Primary practice location
1225 W 190TH St Ste 280
Gardena, CA 90248-4305
Mailing address
60 Madison Ave
New York, NY 10010-1600
Phone (855) 629-0554
Other practice location 1
60 Madison Ave
New York, NY 10010-1600
Phone (855) 629-0554
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1225 W 190TH St
Suite 280
Gardena, CA 90248-4305
Phone (877) 515-8113
130 S Indian River Dr
Suite 202
Fort Pierce, FL 34950-4353
Phone (310) 515-8113
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A202420 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ehab Yacoub MD Inc. | Current | Accepting new patients |
Locations
1225 W 190th St
Ste 280
Gardena, CA 90248
Phone (310) 515-8113
17075 Devonshire St
Ste 204
Northridge, CA 91325
Phone (818) 368-8929
6203 San Ignacio Ave
Ste 110
San Jose, CA 95119
Phone (408) 638-9569
14541 Delano St
Van Nuys, CA 91411
Phone (310) 515-8113
130 S Indian River Dr
Ste 202
Fort Pierce, FL 34950
Phone (310) 515-8113
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": "1617753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766620800000",
"number": "1235718115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 MADISON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100101600",
"telephone_number": "855-629-0554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 W 190TH ST STE 280",
"city": "GARDENA",
"state": "CA",
"postal_code": "902484305",
"telephone_number": "877-515-8113",
"fax_number": "877-538-2102"
}
],
"practiceLocations": [
{
"address_1": "60 Madison Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100101600",
"country_code": "US",
"telephone_number": "855-629-0554",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOHAN",
"first_name": "VINEETH",
"middle_name": "GIREESH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-07",
"last_updated": "2025-12-25",
"certification_date": "2025-12-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME172997",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A202420",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.