Active NPI
Barbara Denysiak, M.D.
- Legal Medicine
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- A48505
- Practice address
- 3969 4TH Ave
Ste. 203
San Diego, CA 92103-3165 - Phone
- (619) 294-6500
- Fax
- (619) 294-6505
- NPI assigned
- Feb 28, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | A48505 | CA | Primary |
Addresses
Primary practice location
3969 4TH Ave
Ste. 203
San Diego, CA 92103-3165
Mailing address
3969 4TH Ave
Ste. 203
San Diego, CA 92103-3165
Phone (619) 294-6500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A48505 | Other | CA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3969 4TH Ave
Suite 203
San Diego, CA 92103-3165
Phone (619) 294-6500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medicus MD Inc | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Scripps Health | Past | Accepting new patients | |
| Scripps Health | Past | Accepting new patients |
Locations
4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245
3969 4th Ave
San Diego, CA 92103
Phone (619) 291-6191
3969 4th Ave
Ste 203
San Diego, CA 92103
Phone (619) 294-6500
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- bdenysiak80948@scrippshlth.medalliesdirect.net
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- San Diego, CA
- NPI 1427076009
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Clinical Medical Laboratory
- La Jolla, CA
- NPI 1427034990
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1659359446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294963200000",
"number": "1003085572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3969 4TH AVE",
"address_2": "STE. 203",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921033165",
"telephone_number": "619-294-6500",
"fax_number": "619-294-6505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3969 4TH AVE",
"address_2": "STE. 203",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921033165",
"telephone_number": "619-294-6500",
"fax_number": "619-294-6505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENYSIAK",
"first_name": "BARBARA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-28",
"last_updated": "2011-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "CA",
"license": "A48505",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "A48505",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.