Individual provider Active NPI

Khashayar Nattagh

  • Psychiatry Physician
  • Newport Beach, CA
National Provider Identifier
1346822673
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
189124 Issued in CA
Practice address
2 Corporate Plaza Dr Ste 220
Newport Beach, CA 92660-7953
Phone
(949) 242-9172
NPI assigned
Apr 26, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 189124 CA Primary
Specialist 174400000X PTL6535 CA
Psychiatry Physician 2084P0800X PTL6535 CA

Addresses

Primary practice location

2 Corporate Plaza Dr Ste 220
Newport Beach, CA 92660-7953

Mailing address

2 Corporate Plaza Dr Ste 220
Newport Beach, CA 92660-7953
Phone (949) 242-9162

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
I20250828001317 CA Practitioner - Psychiatry 1951802370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of California, San Francisco School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Department of State HospitalsGroup PAC ID 9638174238, 275 clinicians

Practice addresses (Care Compare)

11401 Bloomfield Ave
Norwalk, CA 90650-2015
Phone (916) 651-8811

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
189124CAMDPsychiatry Physician
PTL6535CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Department of State Hospitals CurrentSince Jul 1, 2025 Accepting new patients
Khashayar Nattagh MD PC Psychiatry Current Accepting new patients
Department of State Hospitals Current Accepting new patients
Nattagh Medical Corporation Psychiatry Current Accepting new patients
Department of State Hospitals CurrentSince Jul 1, 2025 Accepting new patients

Locations

2 Corporate Plaza Dr
Ste 220
Newport Beach, CA 92660
Phone (949) 242-9172

11401 Bloomfield Ave
Norwalk, CA 90650
Phone (562) 863-7011

3102 E Highland Ave
Patton, CA 92369
Phone (909) 425-7000

1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805

Organizations & group practices 5

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": "1619395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1346822673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CORPORATE PLAZA DR STE 220",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607953",
            "telephone_number": "949-242-9162",
            "fax_number": "949-272-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CORPORATE PLAZA DR STE 220",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607953",
            "telephone_number": "949-242-9172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATTAGH",
        "first_name": "KHASHAYAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-26",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "189124",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "PTL6535",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "PTL6535",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.