Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mahtab Javed Siddiqui

Individual provider Social Worker · NPI 1053951269

Mahtab Javed Siddiqui is a Clinical Social Worker in Artesia, California. Qualified in 2021, 5 years ago. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2020
Specialties on file
2

Practice location Address checks out

18173 Pioneer Blvd Ste I
Artesia, CA 90701-3986
Phone: (562) 403-0488
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 134120 (CA)
Social Worker Taxonomy 104100000X · Licence 107014 (CA)

Record details

NPI number1053951269
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 15, 2020
Last updated in NPPESJanuary 13, 2026
Certification dateJanuary 13, 2026
Mailing address18173 Pioneer Blvd Ste I, Artesia, CA 90701-3986

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated