Individual provider Active NPI

Yonatan Mahller, MD, PHD

  • Obstetrics & Gynecology Physician
  • Newport Beach, CA
National Provider Identifier
1396977930
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A117135 Issued in CA
Practice address
320 Superior Ave Ste 290
Newport Beach, CA 92663-6140
Phone
(949) 375-8244
Fax
(949) 398-9812
NPI assigned
Aug 16, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A117135 CA Primary

Addresses

Primary practice location

320 Superior Ave Ste 290
Newport Beach, CA 92663-6140

Mailing address

320 Superior Ave Ste 290
Newport Beach, CA 92663-6140
Phone (949) 375-8244

Other identifiers 1

IdentifierTypeStateIssuer
A117135OtherCACA LICENSE

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
I20140514001491 CA Practitioner - Obstetrics/Gynecology 4880823657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Cincinnati College of Medicine, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

355 Placentia Ave
Suite 302
Newport Beach, CA 92663-3304
Phone (949) 375-8244

Hospital & facility affiliations

  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A117135CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yonatan Mahller MD PHD Inc Obstetrics & Gynecology CurrentSince Nov 26, 2013 Accepting new patients
Pablo P. Prietto, M.D. Inc Past Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients

Locations

355 Placentia Ave
Ste 302
Newport Beach, CA 92663
Phone (949) 375-8244

320 Superior Ave
Ste 290
Newport Beach, CA 92663
Phone (949) 650-2630

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIIHAD/Endpoint/DIIHAD

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1250380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1396977930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SUPERIOR AVE STE 290",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926636140",
            "telephone_number": "949-375-8244",
            "fax_number": "949-398-9812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SUPERIOR AVE STE 290",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926636140",
            "telephone_number": "949-375-8244",
            "fax_number": "949-398-9812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHLLER",
        "first_name": "YONATAN",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-16",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A117135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE",
            "identifier": "A117135",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.