CABLE STREET FAMILY PRACTICE AND MEDICAL GROUP, INC.
NPI 1184834012
Clinic/Center - Primary Care in San Diego, CA
About Cable Street Family Practice And Medical Group, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CABLE STREET FAMILY PRACTICE AND MEDICAL GROUP, INC. (NPI 1184834012) is a healthcare organization registered as a primary care in San Diego, California and active in the NPI registry since May 2007. The organization lists Noli A Cava, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cable Street Family Practice And Medical Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Cable Street Family Practice And Medical Group, Inc., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Cable Street Family Practice And Medical Group, Inc.'s NPI number?
The NPI number for Cable Street Family Practice And Medical Group, Inc. is 1184834012. It was assigned to this organization in the NPPES registry on May 22, 2007.
Where is Cable Street Family Practice And Medical Group, Inc. located?
Cable Street Family Practice And Medical Group, Inc. is located at 1808 Cable St, San Diego, CA 92107. The listed phone number is (619) 221-4490.
What is Cable Street Family Practice And Medical Group, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Cable Street Family Practice And Medical Group, Inc. enrolled in Medicare?
Yes. Cable Street Family Practice And Medical Group, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cable Street Family Practice And Medical Group, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Cable Street Family Practice And Medical Group, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Cable Street Family Practice And Medical Group, Inc. was last updated on December 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Cable Street Family Practice And Medical Group, Inc. · NPI 1184834012
Primary Care organization in San Diego, California. Organization record, active in the CMS NPPES registry since May 22, 2007.
## Identity
- **NPI:** 1184834012 (Entity type: Organization)
- **Enumerated:** May 22, 2007
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Noli Cava, MEDICAL DIRECTOR
## Practice location
- **Address:** 1808 CABLE ST, San Diego, CA 92107-3103
- **Phone:** (619) 221-4490 · **Fax:** (619) 221-4494
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 21, 2015
- **Other identifiers:** Medicare UPIN S84373 (CA); Other W14659 (CA); Medicaid 3836332 (CA); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1184834012) · Data from the CMS NPPES public registry.