MASTANEH NIKRAVESH MD PC
NPI 1982585980
Internal Medicine - Addiction Medicine in San Diego, CA

Q: What is Mastaneh Nikravesh MD PC's NPI number?

The NPI number for Mastaneh Nikravesh MD PC is 1982585980. It was assigned to this organization in the NPPES registry on September 8, 2025.

Q: What is Mastaneh Nikravesh MD PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Active since September 08, 2025

7901 FROST ST, SAN DIEGO, CA 92123(619) 940-7934 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mastaneh Nikravesh Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MASTANEH NIKRAVESH MD PC (NPI 1982585980) is a healthcare organization registered as an addiction medicine in San Diego, California and active in the NPI registry since September 2025. The organization maintains 2 additional practice locations and lists Mastaneh Nikravesh, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1982585980

Entity TypeOrganization

Primary Taxonomy207RA0401X

Legal Business NameMASTANEH NIKRAVESH MD PC

Location Address7901 FROST STSan Diego, CA 92123-2701

Mailing Address600 1st Ave Ste 102-2405Seattle, WA 98104-2210 · (619) 940-7934

Phone(619) 940-7934

Organization SubpartNo

Authorized OfficialMastaneh NikraveshPhysician/owner · (619) 869-9953

Enumeration DateSeptember 8, 2025

NPPES CertifiedSeptember 8, 2025

✔ NPI 1982585980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RA0401X

Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

Secondary Practice Locations 2

Location 18003 Linda Vista RdSan Diego, CA 92111-5108 · Phone (619) 940-7934

Location 27850 Vista Hill AveSan Diego, CA 92123-2717 · Phone (619) 940-7934

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOANNA PARK

Pharmacist