Organization Active NPI

Happy Sol Medical PC

  • Neurology Physician
  • San Diego, CA
National Provider Identifier
1861272973
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
HAPPY SOL MEDICAL PC
Practice address
322 1/2 W Washington St
San Diego, CA 92103-1931
Phone
(833) 408-8326
Fax
(833) 758-3828
NPI assigned
Oct 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Authorized official

Name
Ibrahim Mulic, PANPI 1992324321
Title
Ceo
Phone
(619) 228-4717

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

322 1/2 W Washington St
San Diego, CA 92103-1931

Mailing address

322 1/2 W Washington St
San Diego, CA 92103-1931
Phone (833) 408-8326

Other practice location 1

2211 Post St Ste 300
San Francisco, CA 94115-3442
Phone (833) 408-8326

Other practice location 2

8383 Wilshire Blvd Ste 800
Beverly Hills, CA 90211-2440
Phone (833) 408-8326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240209001001 NY Part B Supplier - Clinic/Group Practice 4385087063 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY
O20240212003071 CA Part B Supplier - Clinic/Group Practice 4385087063 Receives reassigned benefits from 3 practitioners
Practice locations: Beverly Hills, CA; San Diego, CA; San Francisco, CA

National Provider Directory

National Provider Directory

Locations

322 W Washington St
San Diego, CA 92103
Phone (833) 408-8326

211 E 43rd St
Ste 713
New York, NY 10017
Phone (833) 408-8326

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1861272973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 1/2 W WASHINGTON ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031931",
            "telephone_number": "833-408-8326",
            "fax_number": "833-758-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 1/2 W WASHINGTON ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031931",
            "telephone_number": "833-408-8326",
            "fax_number": "833-758-3828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2211 Post St Ste 300",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941153442",
            "country_code": "US",
            "telephone_number": "833-408-8326",
            "fax_number": "833-758-3828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8383 Wilshire Blvd Ste 800",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902112440",
            "country_code": "US",
            "telephone_number": "833-408-8326",
            "fax_number": "833-758-3828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HAPPY SOL MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "MULIC",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-228-4717",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "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 Oct 5, 2023; 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.