Shafa Psychiatric & Consulting Center Apc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SHAFA PSYCHIATRIC & CONSULTING CENTER APC

Practice address

16960 Bastanchury Rd Ste J
Yorba Linda, CA 92886-1711

Phone

(714) 693-1055

NPI assigned

Apr 12, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Gohar KhosraviNPI 1912384611

Title

Ceo

Phone

(657) 341-4422

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Shafa Psychiatric and Consulting Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Shafa Psychiatric and Consulting Center

  • Adult Mental Health Clinic/Center
  • Brea, CA
  • NPI 1689374027
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gohar Khosravi, M.D

  • Psychiatry Physician
  • Norwalk, CA
  • NPI 1912384611
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681430400000",
    "number": "1376239384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N KRAEMER BLVD UNIT 171",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928711408",
            "telephone_number": "165-734-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16960 BASTANCHURY RD STE J",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928861711",
            "telephone_number": "714-693-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAFA PSYCHIATRIC & CONSULTING CENTER APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A",
        "authorized_official_last_name": "KHOSRAVI",
        "authorized_official_first_name": "GOHAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "657-341-4422",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seth Bernstein, O.D. & Lisa Benham, O.D., Inc
• Farshad Seyedein
• Joy Lynette Shabandar, PHD, LPCC
• Shaevitz Chiropractic Corperation
• Kevin Lawrence Shaevitz, CHIROPRACTOR DC
• Chellie Kingsley Shaffer, PSYD
• Beena H Shah, M.D.
• Hiren C Shah, M.D.
• Paurush L Shah, MD
• Ravi B Shah, D.O.

• Clinic/Center in Yorba Linda, CA
• Providers in Yorba Linda, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.