Mastaneh Nikravesh, MD
Mastaneh Nikravesh, MD is a Pain Medicine Physician in La Mesa, CA, registered under NPI 1508429143. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 5555 GROSSMONT CENTER DR, La Mesa, CA 91942. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| A176795 | CA | Internal Medicine Physician |
| A176795 | CA | Addiction Medicine (Preventive Medicine)… |
| A176795 | CA | Pain Medicine Physician primary |
This provider holds licence A176795 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Internal Medicine
- PAC ID
- 2961863881
Enrolled in Medicare 2 times, across 2 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Wisconsin | I20241205002015 | Practitioner - Internal Medicine |
| California | I20250121003410 | Practitioner - Internal Medicine |
Medicare enrolment is recorded as approved under the provider type Practitioner - Internal Medicine. There are 2 separate enrolment records across 2 states (WI, CA). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Pain Medicine covers
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. NUCC Health Care Provider Taxonomy, code 208VP0000X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207R00000X | Internal Medicine Physician | A176795 | CA | |
| 2083A0300X | Addiction Medicine (Preventive Medicine) Physician Addiction Medicine | A176795 | CA | |
| 208VP0000X | Pain Medicine Physician Pain Medicine | A176795 | CA | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1508429143 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Apr 18, 2019 |
| Last updated | Mar 11, 2025 |
| Status | Active |
| Sole proprietor | No |
| Gender | Female |
| Credential | MD |
| Practice address |
5555 GROSSMONT CENTER DR La Mesa, CA 91942 (619) 740-6000 |
| Mailing address |
600 1ST AVE STE 102-2405 Seattle, WA 98104 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 5 | 0 | 8 | 4 | 2 | 9 | 1 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 5 | 0 | 8 | 8 | 2 | 9 | 1 | 8 |
Sum = 67 · next multiple of 10 = 70 · check digit = 3 · actual last digit = 3
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.