Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicholas Demetrios Kavathas

Individual provider Peer Specialist · NPI 1962102608

Nicholas Demetrios Kavathas is a Peer Specialist in San Diego, California. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

409 Camino Del Rio S Ste 201
San Diego, CA 92108-3505
Phone: (619) 381-7748
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X
Peer Specialist Taxonomy 175T00000X

Record details

NPI number1962102608
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 9, 2023
Last updated in NPPESMarch 30, 2023
Certification dateMarch 30, 2023

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