=====================================================
General NPI Number Information
=====================================================
NPI Number | 1700150729
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | VAHID MAHABADI, MD., INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/08/2012
-----------------------------------------------------
Last Update Date | 11/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 23928 LYONS AVE STE 204
-----------------------------------------------------
City | NEWHALL
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91321-2455
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 661-222-2300
-----------------------------------------------------
Fax | 844-273-2445
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 802588
-----------------------------------------------------
City | SANTA CLARITA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91380-2588
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 661-222-2300
-----------------------------------------------------
Fax | 844-273-2445
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. VAHID MAHABADI
-----------------------------------------------------
Credential | M.D.,MPH
-----------------------------------------------------
Telephone | 661-222-2300
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RE0101X
-----------------------------------------------------
Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
-----------------------------------------------------
License Number | A91861
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------