Organization Active NPI

San Diego Rehab Specialists Inc

  • Internal Medicine Physician
  • El Cajon, CA
National Provider Identifier
1053204107
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SAN DIEGO REHAB SPECIALISTS INC
Practice address
3356 Rancho Diego Cir
El Cajon, CA 92019-5125
Phone
(619) 438-4119
NPI assigned
May 29, 2025
Last updated
May 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Authorized official

Name
Dr. Sinan KhayyatNPI 1578092318
Title
Owner
Phone
(619) 438-4119

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

3356 Rancho Diego Cir
El Cajon, CA 92019-5125

Mailing address

5580 La Jolla Blvd # 617
La Jolla, CA 92037-7651
Phone (619) 438-4119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250709002025 CA Part B Supplier - Clinic/Group Practice 6406360783 Receives reassigned benefits from 4 practitioners
Practice locations: San Diego, CA; National City, CA; El Cajon, CA; La Mesa, CA

National Provider Directory

National Provider Directory
Tax ID family
San Diego Rehab Specialists Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2575 E 8th St
National City, CA 91950
Phone (619) 470-6700

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1748476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1053204107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5580 LA JOLLA BLVD # 617",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920377651",
            "telephone_number": "619-438-4119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3356 RANCHO DIEGO CIR",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920195125",
            "telephone_number": "619-438-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO REHAB SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "KHAYYAT",
        "authorized_official_first_name": "SINAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-438-4119",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.