Socal Street Medicine

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SOCAL STREET MEDICINE

Practice address

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

Phone

(619) 439-9238

NPI assigned

Feb 5, 2024

Last updated

Feb 5, 2024By the provider in NPPES

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) 439-9239

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

  • Family Medicine Physician
  • San Diego, CA
  • NPI 1811750201
  NPD tax ID

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1861255630",
    "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": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "DIAB",
        "authorized_official_first_name": "MAHDI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "619-439-9239",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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)
• Nicole Marie Socie, OTR

• Community/Behavioral Health Agency in San Diego, CA
• Providers in San Diego, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.