Active NPI
Mastaneh Nikravesh MD PC
- Addiction Medicine (Internal Medicine) Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- Legal business name
- MASTANEH NIKRAVESH MD PC
- Practice address
- 7901 Frost St
San Diego, CA 92123-2701 - Phone
- (619) 940-7934
- NPI assigned
- Sep 8, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mastaneh Nikravesh, MD
- Title
- Physician/Owner
- Phone
- (619) 869-9953
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | Primary |
Addresses
Primary practice location
7901 Frost St
San Diego, CA 92123-2701
Mailing address
600 1St Ave Ste 102-2405
Seattle, WA 98104-2210
Phone (619) 940-7934
Other practice location 1
7850 Vista Hill Ave
San Diego, CA 92123-2717
Phone (619) 940-7934
Other practice location 2
8003 Linda Vista Rd
San Diego, CA 92111-5108
Phone (619) 940-7934
National Provider Directory
National Provider DirectoryLocations
7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400
8003 Linda Vista Rd
San Diego, CA 92111
Phone (619) 940-7934
600 1st Ave
Seattle, WA 98104
Phone (206) 369-1368
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine Physician
- La Mesa, CA
- NPI 1508429143
-
- Infectious Disease Physician
- San Diego, CA
- NPI 1568624336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757289600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757289600000",
"number": "1982585980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 1ST AVE STE 102-2405",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981042210",
"telephone_number": "619-940-7934"
},
{
"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": "619-940-7934"
}
],
"practiceLocations": [
{
"address_1": "7850 Vista Hill Ave",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921232717",
"country_code": "US",
"telephone_number": "619-940-7934",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8003 Linda Vista Rd",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921115108",
"country_code": "US",
"telephone_number": "619-940-7934",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MASTANEH NIKRAVESH MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-08",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A",
"authorized_official_last_name": "NIKRAVESH",
"authorized_official_first_name": "MASTANEH",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "619-869-9953",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RA0401X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Addiction Medicine",
"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 Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.