Mark Jude Rywelski

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R1538671223 Issued in CA

Practice address

1530 Dale St
San Diego, CA 92102-1519

Phone

(619) 915-5710

NPI assigned

Mar 5, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pathfinders of San Diego

  • Substance Abuse Rehabilitation Facility
  • San Diego, CA
  • NPI 1285138230
  NPD (past)
• Pathfinders of San Diego

  • Substance Abuse Rehabilitation Facility
  • San Diego, CA
  • NPI 1982108841
  NPD (past)

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1447017488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 CEDAR ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921021599",
            "telephone_number": "619-239-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 DALE ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921021519",
            "telephone_number": "619-915-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYWELSKI",
        "first_name": "MARK",
        "middle_name": "JUDE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-05",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1538671223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hae Rim Ryu, DMD
• Hyo Jung Ryu
• Ji Min Ryu, RN
• Julie Ryu, M.D.
• Sylvvari Ryu'Xtiel, L. AC
• S and F Group Holdings Inc
• S Brar MD Inc
• S Goh DDS Inc
• S J Shahangian DDS Ms Inc
• S J Shahangian DDS Ms Inc

• Addiction (Substance Use Disorder) Counselor in San Diego, CA
• Providers in San Diego, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.

Verify at the official NPI Registry.