Individual provider Active NPI

Mellad Michael Khoshnood, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Santa Barbara, CA
National Provider Identifier
1497258073
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
A161334 Issued in CA
Practice address
2401 Bath St FL 2
Santa Barbara, CA 93105-4324
Phone
(805) 879-4240
Fax
(805) 566-3037
NPI assigned
Mar 9, 2018
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X A161334 CA Primary

Addresses

Primary practice location

2401 Bath St FL 2
Santa Barbara, CA 93105-4324

Mailing address

PO Box 689
Santa Barbara, CA 93102-0689
Phone (805) 879-4240

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
I20220627001063 CA Practitioner - Neurology 0648659391 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A161334CAMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cottage Medical Foundation CurrentSince Jul 1, 2025 Accepting new patients
Cottage Clinical Associates CurrentSince Apr 1, 2024 Accepting new patients
Children's Hospital Los Angeles Medical Group, Inc. CurrentSince Jun 15, 2022 Accepting new patients

Locations

3701 Wilshire Blvd
Ste 600
Los Angeles, CA 90010
Phone (323) 361-3550

4650 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 361-2122

2 James Way
Ste 112
Pismo Beach, CA 93449
Phone (805) 556-3037

5333 Hollister Ave
Santa Barbara, CA 93111
Phone (805) 879-4272

400 W Pueblo St
Santa Barbara, CA 93105
Phone (805) 569-7279

5333 Hollister Ave
Ste 250
Santa Barbara, CA 93111
Phone (805) 879-4240

4360 E Main St
Ste B2A
Ventura, CA 93003
Phone (805) 879-4240

4360 E Main St
#B2A
Ventura, CA 93003

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1497258073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931020689",
            "telephone_number": "805-879-4240",
            "fax_number": "805-566-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 BATH ST FL 2",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054324",
            "telephone_number": "805-879-4240",
            "fax_number": "805-566-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOSHNOOD",
        "first_name": "MELLAD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-09",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "CA",
            "license": "A161334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.