Sara Abdeltawab

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

7917 Ostrow St Ste a
San Diego, CA 92111-3604

Phone

(858) 300-8282

Fax

(858) 300-8284

NPI assigned

Jan 27, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Community Research Foundation Inc

  dba Douglas Young Youth and Family Services

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1689897100
  NPD

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1477184794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7917 OSTROW ST STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113604",
            "telephone_number": "858-300-8282",
            "fax_number": "858-300-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7917 OSTROW ST STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113604",
            "telephone_number": "858-300-8282",
            "fax_number": "858-300-8284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 W Main St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Woodland",
            "state": "CA",
            "postal_code": "956953686",
            "country_code": "US",
            "telephone_number": "530-379-1393",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 W Main St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Woodland",
            "state": "CA",
            "postal_code": "956953686",
            "country_code": "US",
            "telephone_number": "530-379-1393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABDELTAWAB",
        "first_name": "SARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-27",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "Y8626789",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fatime Abdallah
• Magie Abdel Nabi
• Noha Abdelgelil, MD
• Sara Abdelhalim, DO, MPH
• Joseph Alexan Abdelmalek, M.D
• Hafsa Abdi
• Munira Ali Abdi
• Nasra Abdi
• Rami Jalal Abdi
• Ruwayda Abdi

• Mental Health Counselor in San Diego, CA
• Providers in San Diego, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.