Mahtab K Yousefi, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MAHTAB K YOUSEFI, M.D.

Practice address

301 Victoria St
Costa Mesa, CA 92627-1995

Phone

(949) 624-2734

NPI assigned

May 5, 2022

Last updated

Feb 21, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mahtab Karkhane Yousefi, MDNPI 1649613753

Title

Ceo

Phone

(949) 570-9415

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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.

• Mahtab Yousefi, M.D.

  • Psychiatry Physician
  • Costa Mesa, CA
  • NPI 1649613753
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1750027546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 E 17TH ST # F249",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273201",
            "telephone_number": "949-570-9415",
            "fax_number": "949-570-9413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 VICTORIA ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926271995",
            "telephone_number": "949-624-2734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHTAB K YOUSEFI, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-05",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "YOUSEFI",
        "authorized_official_first_name": "MAHTAB",
        "authorized_official_middle_name": "KARKHANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-570-9415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CPSI&EVIDENT",
            "affiliation": "N",
            "address_1": "301 Victoria St",
            "city": "Costa Mesa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926271995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Psychiatry Physician in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.