Active NPI
Jalla Tarak Mustafa, DO
- Internal Medicine Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 20A24311
- Practice address
- 7901 Frost St
San Diego, CA 92123-2701 - Phone
- (858) 939-3400
- Fax
- (858) 939-3527
- NPI assigned
- Jun 25, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 IncArizona Inpatient Medicine Associates LLCFocus on Health IncEmergency and Acute Care Medical Corporation
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
- Sharp Memorial Hospital
- Tucson Medical Center
- The Cove at la Jolla
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009516 | AZ | MD | Internal Medicine Physician |
| 20A24311 | CA | MD | Internal Medicine Physician |
| OT019576 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Focus on Health Inc | Current | Accepting new patients | |
| Millcreek Community Hospital | Current | Accepting new patients | |
| Arizona Inpatient Medicine Associates LLC | Internal Medicine | Current | Accepting new patients |
| Emergency and Acute Care Medical Corporation | Current | Accepting new patients | |
| Sharp Rees-Stealy Medical Group, Inc | Internal Medicine | Current | Accepting new patients |
| San Diego SNF Hospitalists | Internal Medicine | Current | Accepting new patients |
| Sharp Rees-Stealy Medical Group, Inc | Current | Accepting new patients | |
| Northwest HBP Medical Services LLC | Current | Accepting new patients | |
| Tucson Medical Center | Past | Accepting new patients | |
| San Diego Hospitalist Associates Inc | Past | Accepting new patients | |
| Presidio Health Associates LLC | Past | Accepting new patients | |
| Tucson Medical Center | Past | Accepting new patients |
Locations
1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500
7383 E Tanque Verde Rd
Tucson, AZ 85715
Phone (520) 318-3434
6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657
2200 S Houghton Rd
Tucson, AZ 85748
Phone (520) 287-5728
2552 Torrey Pines Rd
La Jolla, CA 92037
Phone (858) 453-5810
7160 Fay Ave
La Jolla, CA 92037
Phone (858) 459-4361
2828 Meadow Lark Dr
San Diego, CA 92123
Phone (858) 277-6460
5651 Copley Dr
San Diego, CA 92111
Phone (858) 262-6340
8695 Spectrum Center Ct
San Diego, CA 92123
Phone (858) 499-3025
2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500
7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400
5515 Peach St
Erie, PA 16509
Phone (814) 864-4031
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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Essence Hospice Care of Arizona LLC | 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.
-
- Community Based Hospice Care Agency
- Tucson, AZ
- NPI 1831919067
Contracted Managing Employee
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1437103942
CA
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1285616177
CA, Internal Medicine
-
- Internal Medicine Physician
- Tucson, AZ
- NPI 1083647754
AZ, Internal Medicine
-
- Internal Medicine Physician
- La Jolla, CA
- NPI 1730431909
CA, Internal Medicine
-
- Optometrist
- San Diego, CA
- NPI 1063172351
-
- General Acute Care Hospital
- Erie, PA
- NPI 1609970284
-
- Hospitalist Physician
- San Diego, CA
- NPI 1689992125
-
- Skilled Nursing Facility
- Tucson, AZ
- NPI 1649262239
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1174512792
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1629827506
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.