Century City Psychiatry

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

CENTURY CITY PSYCHIATRY

Practice address

10323 Santa Monica Blvd Ste 108
Los Angeles, CA 90025-5056

Phone

(310) 340-0089

Fax

(310) 469-9073

NPI assigned

May 20, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Michael Nissan Mahgerefteh, MDNPI 1386170629

Title

President

Phone

(310) 340-0089

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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

• Michael Mahgerefteh

  • Psychiatry Physician
  • Los Angeles, CA
  • NPI 1386170629
  Medicare reassignment NPD Authorized official
• Kaitlyn L. Costas, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Los Angeles, CA
  • NPI 1588540678
  Medicare reassignment NPD
• Stephanie Shevanne Larsen

  • Psychiatric/Mental Health Nurse Practitioner
  • Los Angeles, CA
  • NPI 1770373383
  Medicare reassignment NPD
• Sandra Sloan

  • Psychiatric/Mental Health Nurse Practitioner
  • Los Angeles, CA
  • NPI 1326913252
  Medicare reassignment NPD

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

{
    "created_epoch": "1747699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1508658022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10323 SANTA MONICA BLVD STE 108",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255056",
            "telephone_number": "310-340-0089",
            "fax_number": "310-469-9073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10323 SANTA MONICA BLVD STE 108",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255056",
            "telephone_number": "310-340-0089",
            "fax_number": "310-469-9073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURY CITY PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-20",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "MAHGEREFTEH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "NISSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-340-0089",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Century City Doctors Hospital
• Century City Endoscopy LLC
• Century City Endoscopy, LLC
• Century City Outpatient Surgery Center LLC
• Century City Physical Therapy, Inc
• Century City Surgery Center
• Century City Surgical Center
• Century Neurological Inc
• Century Park Ambulatory Surgical Center, LLC
• Century Park Chiropractic

• Psychiatry Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.