Active NPI
Ahmad Khoshal
- Mental Health Counselor
- San Diego, CA
National Provider Identifier
1043017684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1925 Euclid Ave
San Diego, CA 92105-5361 - Phone
- (619) 648-1158
- NPI assigned
- Mar 1, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1925 Euclid Ave
San Diego, CA 92105-5361
Mailing address
10942 Poblado Rd Apt 2922
San Diego, CA 92127-5340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urban Restoration Counseling Center | Mental Health | Current | Accepting new patients |
Locations
1925 Euclid Ave
San Diego, CA 92105
Phone (619) 648-1153
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740787200000",
"number": "1043017684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10942 POBLADO RD APT 2922",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921275340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1925 EUCLID AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921055361",
"telephone_number": "619-648-1158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHOSHAL",
"first_name": "AHMAD",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-03-01",
"last_updated": "2025-03-01",
"certification_date": "2025-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Mar 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.