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Search › California › 363A00000X

Mahnaz Shambayati, PA-C

NPI 1639574395 · on the registry since 2014

Practice

Address
1650 Adams Ave
Costa Mesa, CA 92626
Phone
(949) 270-2100
Fax
(949) 650-4458
Organisation at this address
Wired Clean, Llc
Griffin Medical Group
Clean Testing Services
Clean Path Recovery, Llc
Share Our Selves Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363AM0700X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-06-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California