Active NPI
Pouran Mashour, PHD
- Psychologist
- Newport Beach, CA
National Provider Identifier
1649496225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 21126
- Practice address
- 1810 E 16TH St Apt G306
Newport Beach, CA 92663-5953 - Phone
- (949) 307-0429
- Fax
- (714) 540-5906
- NPI assigned
- Apr 18, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 21126 | CA | Primary |
Addresses
Primary practice location
1810 E 16TH St Apt G306
Newport Beach, CA 92663-5953
Mailing address
1810 E 16TH St Apt G306
Newport Beach, CA 92663-5953
Phone (949) 307-0429
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21126 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328832000000",
"number": "1649496225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1810 E 16TH ST APT G306",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926635953",
"telephone_number": "949-307-0429",
"fax_number": "714-540-5906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1810 E 16TH ST APT G306",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926635953",
"telephone_number": "949-307-0429",
"fax_number": "714-540-5906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASHOUR",
"first_name": "POURAN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2012-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "21126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.