Organization Active NPI

Mastaneh Nikravesh MD PC

  • Addiction Medicine (Internal Medicine) Physician
  • San Diego, CA
National Provider Identifier
1982585980
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
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

Updated by the provider on Sep 8, 2025

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

Authorized official

Name
Dr. Mastaneh Nikravesh, MDNPI 1508429143
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)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.