Individual provider Active NPI

Jalla Tarak Mustafa, DO

  • Internal Medicine Physician
  • San Diego, CA
National Provider Identifier
1609437219
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A24311 Issued in CA
Practice address
7901 Frost St
San Diego, CA 92123-2701
Phone
(858) 939-3400
Fax
(858) 939-3527
NPI assigned
Jun 25, 2019
Last updated
Dec 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OT019576 PA
Internal Medicine Physician 207R00000X 009516 AZ
Internal Medicine Physician 207R00000X 20A24311 CA Primary

Addresses

Primary practice location

7901 Frost St
San Diego, CA 92123-2701

Mailing address

8695 Spectrum Center Blvd
San Diego, CA 92123-1489
Phone (858) 798-9083

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220613000408 AZ Practitioner - Internal Medicine 3678972502 Reassigns benefits to 2 organizations
I20250909002452 CA Practitioner - Internal Medicine 3678972502 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lake Erie Col of Osteo Med at Seton Hill Univ, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sharp Rees-Stealy Medical Group IncGroup PAC ID 8628972759, 872 clinicians
Arizona Inpatient Medicine Associates LLCGroup PAC ID 4183688344, 70 clinicians
Focus on Health IncGroup PAC ID 0648624254, 63 clinicians
Emergency and Acute Care Medical CorporationGroup PAC ID 9537108279, 431 clinicians

Practice addresses (Care Compare)

5651 Copley Dr
San Diego, CA 92111-7903
Phone (858) 262-6344

7160 Fay Ave
La Jolla, CA 92037-5511
Phone (858) 500-2693

7383 E Tanque Verde Rd
Tucson, AZ 85715-3475
Phone (520) 318-3434

7901 Frost St
San Diego, CA 92123-2701
Phone (858) 939-3400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A24311CAMDInternal Medicine Physician
OT019576PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Dec 20, 2025 Accepting new patients
Arizona Inpatient Medicine Associates LLC Internal Medicine CurrentSince Nov 1, 2023 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc Internal Medicine CurrentSince Dec 20, 2025 Accepting new patients
Northwest HBP Medical Services LLC CurrentSince Jul 19, 2023 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Aug 26, 2025 Accepting new patients
Focus on Health Inc CurrentSince Aug 26, 2025 Accepting new patients
Millcreek Community Hospital Current Accepting new patients
San Diego SNF Hospitalists Internal Medicine CurrentSince Dec 1, 2025 Accepting new patients
Tucson Medical Center Past Accepting new patients
Tucson Medical Center Past Accepting new patients
Presidio Health Associates LLC Past Accepting new patients
San Diego Hospitalist Associates Inc Past Accepting new patients

Locations

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

2200 S Houghton Rd
Tucson, AZ 85748
Phone (520) 287-5728

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

7383 E Tanque Verde Rd
Tucson, AZ 85715
Phone (520) 318-3434

2552 Torrey Pines Rd
La Jolla, CA 92037
Phone (858) 453-5810

7160 Fay Ave
La Jolla, CA 92037
Phone (858) 459-4361

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

2828 Meadow Lark Dr
San Diego, CA 92123
Phone (858) 277-6460

5651 Copley Dr
San Diego, CA 92111
Phone (858) 262-6340

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

8695 Spectrum Center Ct
San Diego, CA 92123
Phone (858) 499-3025

5515 Peach St
Erie, PA 16509
Phone (814) 868-8251

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Essence Hospice Care of Arizona LLCTucson, AZ, CCN 001585 Hospice Contracted Managing Employee Sep 19, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

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 4

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": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1609437219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8695 SPECTRUM CENTER BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231489",
            "telephone_number": "858-798-9083",
            "fax_number": "760-705-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 FROST ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232701",
            "telephone_number": "858-939-3400",
            "fax_number": "858-939-3527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSTAFA",
        "first_name": "JALLA",
        "middle_name": "TARAK",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-25",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OT019576",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "009516",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A24311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.