Provider Demographics
NPI:1003133521
Name:SAFANI, DAVID (MD, MBA)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:SAFANI
Suffix:
Gender:M
Credentials:MD, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20377 SW ACACIA ST STE 200
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-1780
Mailing Address - Country:US
Mailing Address - Phone:949-371-9551
Mailing Address - Fax:
Practice Address - Street 1:20377 SW ACACIA ST STE 200
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-1780
Practice Address - Country:US
Practice Address - Phone:949-371-9551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-23
Last Update Date:2023-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1199732083C0008X, 2084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2083C0008XAllopathic & Osteopathic PhysiciansPreventive MedicineClinical Informatics
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry