NPIMap

Organization Active NPI

Headlight Health Medical Group PLLC

  • Psychiatry Physician
  • San Diego, CA
National Provider Identifier
1649064486
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
HEADLIGHT HEALTH MEDICAL GROUP PLLC
Practice address
5060 Shoreham PL Ste 330
San Diego, CA 92122-5976
Phone
(866) 657-6592
NPI assigned
Apr 7, 2025
Last updated
Sep 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Authorized official

Name
Shashita R Inamdar, MDNPI 1003861139
Title
Owner
Phone
(858) 221-0344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

5060 Shoreham PL Ste 330
San Diego, CA 92122-5976

Mailing address

PO Box 65737
Salt Lake City, UT 84165-0737
Phone (877) 840-6956

Other practice location 1

1917 Abbott Rd Ste 101
Anchorage, AK 99507-3449
Phone (877) 840-6956

Other practice location 2

6183 Paseo Del Norte Ste 140
Carlsbad, CA 92011-1151
Phone (877) 840-6956

Other practice location 3

32605 Temecula Pkwy Ste 308
Temecula, CA 92592-6840
Phone (877) 840-6956

Other practice location 4

720 S Colorado Blvd Ste 610S
Denver, CO 80246-1942
Phone (877) 840-6956

Other practice location 5

4800 S MacAdam Ave Ste 230
Portland, OR 97239-3927
Phone (877) 840-6956

Other practice location 6

4201 W Parmer Ln Ste B225
Austin, TX 78727-4160
Phone (877) 840-6956

Other practice location 7

5109 NE 82nd Ave Ste 215
Vancouver, WA 98662-6841
Phone (877) 840-6956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR, TX, CO, WA5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20260318002185 CA Part B Supplier - Clinic/Group Practice 2062996028 Receives reassigned benefits from 53 practitioners
Practice locations: Carlsbad, CA; Chula Vista, CA; Palm Desert, CA; San Diego, CA; Temecula, CA
O20260429003578 OR Part B Supplier - Clinic/Group Practice 2062996028 Receives reassigned benefits from 2 practitioners
Practice locations: Portland, OR
O20260515001656 TX Part B Supplier - Clinic/Group Practice 2062996028 Receives reassigned benefits from 2 practitioners
Practice locations: Austin, TX
O20260515002030 CO Part B Supplier - Clinic/Group Practice 2062996028 Receives reassigned benefits from 1 practitioner
Practice locations: Denver, CO
O20260521004243 WA Part B Supplier - Clinic/Group Practice 2062996028 Receives reassigned benefits from 1 practitioner
Practice locations: Vancouver, WA

National Provider Directory

National Provider Directory

Locations

6183 Paseo del Norte
Ste 140
Carlsbad, CA 92011
Phone (760) 942-8663

5060 Shoreham Pl
Ste 330
San Diego, CA 92122
Phone (619) 866-0998

4800 S Macadam Ave
Ste 230
Portland, OR 97239
Phone (866) 657-6592

8555 SW Apple Way
Ste 320
Portland, OR 97225
Phone (503) 430-5762

Practitioners & affiliated clinicians

Practitioners 187

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 187

NPI Registry JSON

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789689600000",
    "number": "1649064486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65737",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841650737",
            "telephone_number": "877-840-6956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 SHOREHAM PL STE 330",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921225976",
            "telephone_number": "866-657-6592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1917 Abbott Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995073449",
            "country_code": "US",
            "telephone_number": "877-840-6956",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6183 Paseo Del Norte Ste 140",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "CA",
            "postal_code": "920111151",
            "country_code": "US",
            "telephone_number": "877-840-6956",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "32605 Temecula Pkwy Ste 308",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925926840",
            "country_code": "US",
            "telephone_number": "877-840-6956",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "720 S Colorado Blvd Ste 610S",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802461942",
            "country_code": "US",
            "telephone_number": "877-840-6956",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4800 S MacAdam Ave Ste 230",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972393927",
            "country_code": "US",
            "telephone_number": "877-840-6956",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4201 W Parmer Ln Ste B225",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787274160",
            "country_code": "US",
            "telephone_number": "877-840-6956",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5109 NE 82nd Ave Ste 215",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986626841",
            "country_code": "US",
            "telephone_number": "877-840-6956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEADLIGHT HEALTH MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-07",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A",
        "authorized_official_last_name": "INAMDAR",
        "authorized_official_first_name": "SHASHITA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-221-0344",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.