Organization Active NPI

Pivothealth Medical Group Inc

  • Family Medicine Physician
  • San Diego, CA
National Provider Identifier
1043172711
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PIVOTHEALTH MEDICAL GROUP INC
Practice address
556 19TH St
San Diego, CA 92102-2804
Phone
(619) 436-4191
NPI assigned
Dec 1, 2025
Last updated
Jul 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mahdi Diab, MD
Title
Ceo
Phone
(619) 436-4191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

556 19TH St
San Diego, CA 92102-2804

Mailing address

PO Box 15061
San Diego, CA 92175-5061

National Provider Directory

National Provider Directory

Locations

556 19th St
San Diego, CA 92102
Phone (619) 436-4191

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1764547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784851200000",
    "number": "1043172711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15061",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921755061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 19TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921022804",
            "telephone_number": "619-436-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIVOTHEALTH MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-01",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A",
        "authorized_official_last_name": "DIAB",
        "authorized_official_first_name": "MAHDI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-436-4191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "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 Jul 24, 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.

Verify at the official NPI Registry.