NPIMap

Individual provider Active NPI

Noli A. Cava, M.D.

  • Internal Medicine Physician
  • San Diego, CA
National Provider Identifier
1265453435
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G84802 Issued in CA
Practice address
1808 Cable St.
San Diego, CA 92107-2807
Phone
(619) 221-4490
Fax
(619) 221-4494
NPI assigned
Jul 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G84802 CA Primary

Addresses

Primary practice location

1808 Cable St.
San Diego, CA 92107-2807

Mailing address

1808 Cable St.
San Diego, CA 92107-2807
Phone (619) 221-4490

Other identifiers 1

IdentifierTypeStateIssuer
00G848020MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040921001363 CA Practitioner - Internal Medicine 3678541281 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1808 Cable St
San Diego, CA 92107-3103
Phone (619) 221-4490

374 H St
Suite 202
Chula Vista, CA 91910-5547
Phone (619) 426-4546

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G84802CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Bay Internal Medicine and Family Practice Group Inc Internal Medicine CurrentSince Jan 1, 2008 Accepting new patients
Dymphna San Diego TMS Inc CurrentSince Mar 1, 2020 Accepting new patients
Sharp Memorial Hospital Past Accepting new patients
Scripps Health Past Accepting new patients

Locations

374 H St
Ste 201
Chula Vista, CA 91910
Phone (619) 349-0949

374 H St
Chula Vista, CA 91910
Phone (619) 426-4546

374 H St
Ste 202
Chula Vista, CA 91910
Phone (619) 426-4546

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ncava32480@sharphealthcare.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1265453435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 CABLE ST.",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921072807",
            "telephone_number": "619-221-4490",
            "fax_number": "619-221-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 CABLE ST.",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921072807",
            "telephone_number": "619-221-4490",
            "fax_number": "619-221-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVA",
        "first_name": "NOLI",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G84802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G848020",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.