Socal Street Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SOCAL STREET MEDICINE

Practice address

7245 Navajo Rd Unit D330
San Diego, CA 92119-1672

Phone

(619) 439-9238

NPI assigned

Jan 30, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Mahdi Diab, MD

Title

Medical Director

Phone

(619) 439-9238

Specialties & licenses 1

Addresses

Tax ID family

Socal Street Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Socal Street Medicine

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1861255630
  NPD tax ID

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1811750201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7245 NAVAJO RD UNIT D330",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921191672",
            "telephone_number": "619-439-9238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7245 NAVAJO RD UNIT D330",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921191672",
            "telephone_number": "619-439-9238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCAL STREET MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "DIAB",
        "authorized_official_first_name": "MAHDI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "619-439-9238",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Socal Nursing Wound Care PC
• Socal Occupational Therapy
• Socal OT Solutions PC
• Socal Psych Solutions
• Socal Speech Therapy & OT (Play On Words)
• Socal Street Medicine
• Socal Surgical Imaging
• Social Advocates for Youth San Diego, Inc. (SAY, San Diego)
• Social Communication Specialists Speech Therapy Clinic Apc
• Social Good Fund (Community Allies for Psychological Assistance)

• Family Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.