Individual provider Active NPI

Hussam Mihtar, MD

  • Psychiatry Physician
  • San Diego, CA
National Provider Identifier
1992710347
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A051705 Issued in CA
Practice address
8899 University Center LN Ste 305a
San Diego, CA 92122-1013
Phone
(858) 453-4441
Fax
(619) 583-2729
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A051705 CA Primary

Addresses

Primary practice location

8899 University Center LN Ste 305a
San Diego, CA 92122-1013

Mailing address

8899 University Center LN Ste 305a
San Diego, CA 92122-1013
Phone (858) 453-4441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040225000441 CA Practitioner - Psychiatry 1951297191 Reassigns benefits to 1 organization
Practice locations: San Diego, CA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8899 University Ctr LN
Suite 305a
San Diego, CA 92122-1013
Phone (858) 453-4441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A051705CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Psychiatry Inc Psychiatry CurrentSince Feb 10, 2021 Accepting new patients

Locations

8899 University Center Ln
Ste 170
San Diego, CA 92122
Phone (619) 356-0378

8899 University Center Ln
Ste 305A
San Diego, CA 92122
Phone (858) 453-4441

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1992710347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8899 UNIVERSITY CENTER LN STE 305A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221013",
            "telephone_number": "858-453-4441",
            "fax_number": "619-583-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8899 UNIVERSITY CENTER LN STE 305A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221013",
            "telephone_number": "858-453-4441",
            "fax_number": "619-583-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIHTAR",
        "first_name": "HUSSAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A051705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.