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NPI 1649064486 · live from the CMS NPI Registry

Headlight Health Medical Group PLLC

Psychiatry & Neurology, Psychiatry in San Diego, CA. National Provider Identifier 1649064486, active.

NPI record

NPI1649064486 Type 2 · organization
StatusActive
Primary specialtyPsychiatry & Neurology, Psychiatry 2084P0800X
Practice location5060 Shoreham Pl Ste 330, San Diego, CA 92122
Practice phone866-657-6592
Mailing addressPo Box 65737, Salt Lake City, UT 84165
EnumeratedApril 7, 2025
Last updatedSeptember 18, 2026
Authorized officialShashita Inamdar, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Counselor101Y00000X—
Counselor, Mental Health101YM0800X—
Psychologist, Clinical103TC0700X—
Social Worker, Clinical1041C0700X—
Marriage & Family Therapist106H00000X—
Psychiatry & Neurology, Psychiatry primary2084P0800X—
Clinic/Center, Mental Health (Including Community Mental Health Center)261QM0801X—
Nurse Practitioner, Psych/Mental Health363LP0808X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.