Organization Active NPI

Mahnaz Behboodikhah MD Inc

  • Cardiovascular Disease Physician
  • Newport Beach, CA
National Provider Identifier
1831558634
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
MAHNAZ BEHBOODIKHAH MD INC
Practice address
500 Superior Ave Ste 345
Newport Beach, CA 92663-3680
Phone
(949) 645-9933
Fax
(949) 645-9943
NPI assigned
Feb 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Authorized official

Name
Mahnaz Behboodikhah, MDNPI 1225061591
Title
Owner
Phone
(949) 645-9933

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary
Clinical Cardiac Electrophysiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0001X

Addresses

Primary practice location

500 Superior Ave Ste 345
Newport Beach, CA 92663-3680

Mailing address

PO Box 15701
Newport Beach, CA 92659-5701
Phone (949) 645-9933

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160303000328 CA Part B Supplier - Clinic/Group Practice 9830495795 Receives reassigned benefits from 1 practitioner
Practice locations: Newport Beach, CA

National Provider Directory

National Provider Directory

Locations

500 Superior Ave
Ste 355
Newport Beach, CA 92663
Phone (949) 646-1877

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553040000000",
    "number": "1831558634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15701",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926595701",
            "telephone_number": "949-645-9933",
            "fax_number": "949-645-9943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SUPERIOR AVE STE 345",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633680",
            "telephone_number": "949-645-9933",
            "fax_number": "949-645-9943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHNAZ BEHBOODIKHAH MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2019-03-20",
        "status": "A",
        "authorized_official_last_name": "BEHBOODIKHAH",
        "authorized_official_first_name": "MAHNAZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-645-9933",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Mar 20, 2019; 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.