NPIMap

Organization Active NPI

Mehboob Makhani MD a Professional Corporation

  • Psychiatry Physician
  • Northridge, CA
National Provider Identifier
1578835724
Registry record updated Oct 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A64828 Issued in CA
Legal business name
MEHBOOB MAKHANI MD A PROFESSIONAL CORPORATION
Practice address
17075 Devonshire St
Suite 204
Northridge, CA 91325-1600
Phone
(818) 717-8464
Fax
(818) 530-7880
NPI assigned
Feb 3, 2012
Last updated
Oct 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2020

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

Authorized official

Name
Mehboob Makhani, M.D.NPI 1386610988
Title
President
Phone
(818) 717-8464

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A64828 CA Primary

Addresses

Primary practice location

17075 Devonshire St
Suite 204
Northridge, CA 91325-1600

Mailing address

20211 Via Medici
Northridge, CA 91326-4059
Phone (818) 717-8464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120215000969 CA Part B Supplier - Clinic/Group Practice 9133387442 Receives reassigned benefits from 9 practitioners
Practice locations: Northridge, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601683200000",
    "number": "1578835724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20211 VIA MEDICI",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913264059",
            "telephone_number": "818-717-8464",
            "fax_number": "818-530-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17075 DEVONSHIRE ST",
            "address_2": "SUITE 204",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913251600",
            "telephone_number": "818-717-8464",
            "fax_number": "818-530-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEHBOOB MAKHANI MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-03",
        "last_updated": "2020-10-03",
        "certification_date": "2020-10-03",
        "status": "A",
        "authorized_official_last_name": "MAKHANI",
        "authorized_official_first_name": "MEHBOOB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-717-8464",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A64828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2020; 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.