Active NPI
Khashayar Nattagh
- Psychiatry Physician
- Newport Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 189124
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 189124 | CA | MD | Psychiatry Physician |
| PTL6535 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of State Hospitals | Current | 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 | Current | 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.
-
- Psychiatric Hospital
- Coalinga, CA
- NPI 1124078704
-
- Psychiatry Physician
- Irvine, CA
- NPI 1043100217
-
- Psychiatry Physician
- Newport Beach, CA
- NPI 1245108604
-
- Psychiatric Hospital
- Patton, CA
- NPI 1043249204
-
- Psychiatric Hospital
- Atascadero, CA
- NPI 1174573802
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.