Active NPI
Aldiwani Medical Group Corporation
- Internal Medicine Physician
- San Diego, CA
National Provider Identifier
1003647488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- ALDIWANI MEDICAL GROUP CORPORATION
- Practice address
- 12396 World Trade Dr
San Diego, CA 92128-3786 - Phone
- (858) 838-3900
- Fax
- (619) 939-4556
- NPI assigned
- Aug 8, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Suzan Mahdai, MD
- Title
- Owner
- Phone
- (858) 838-3900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
12396 World Trade Dr
San Diego, CA 92128-3786
Mailing address
12396 World Trade Dr Ste 103
San Diego, CA 92128-3787
Phone (858) 838-3900
Other names 1
- Timely Health
National Provider Directory
National Provider DirectoryLocations
12396 World Trade Dr
Ste 103
San Diego, CA 92128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786579200000",
"number": "1003647488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12396 WORLD TRADE DR STE 103",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921283787",
"telephone_number": "858-838-3900",
"fax_number": "619-939-4556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12396 WORLD TRADE DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921283786",
"telephone_number": "858-838-3900",
"fax_number": "619-939-4556"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALDIWANI MEDICAL GROUP CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-08",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A",
"authorized_official_last_name": "MAHDAI",
"authorized_official_first_name": "SUZAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "858-838-3900",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Timely Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.