Individual provider Active NPI

Karim Waguih Ghobrial-Sedky, M.D.

  • Psychiatry Physician
  • San Diego, CA
National Provider Identifier
1093746836
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A119201 Issued in CA
Practice address
7290 El Cajon Blvd
San Diego, CA 92115-1829
Phone
(619) 906-5347
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA09342600 NJ
Psychiatry Physician 2084P0800X A119201 CA Primary

Addresses

Primary practice location

7290 El Cajon Blvd
San Diego, CA 92115-1829

Mailing address

823 Gateway Center Way
San Diego, CA 92102-4541
Phone (619) 515-2300

Other identifiers 1

IdentifierTypeStateIssuer
30608012MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20131026000035 NJ Practitioner - Psychiatry 3375575509 Reassigns benefits to 2 organizations
I20180518002397 CA Practitioner - Psychiatry 3375575509 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5454 El Cajon Blvd
San Diego, CA 92115-3621
Phone (619) 515-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A119201CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CMC Psychiatric Associates, PC Psychiatry CurrentSince Aug 8, 2013 Accepting new patients
Regents of the University of California CurrentSince Apr 8, 2018 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Oct 13, 2022 Accepting new patients
Regents of the University of California Psychiatry CurrentSince Apr 8, 2018 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Aug 28, 2022 Accepting new patients
Family Health Centers of San Diego, Inc Current Accepting new patients
Cooper Pediatric Specialists, PC CurrentSince Nov 9, 2013 Accepting new patients
Family Health Centers of San Diego Inc CurrentSince Oct 13, 2022 Accepting new patients
Comprehend Inc Regional Mental Health- Mental Retardation Board Inc Past Accepting new patients

Locations

File 57326
Los Angeles, CA 90074

823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323

7290 El Cajon Blvd
San Diego, CA 92115
Phone (619) 255-7705

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920

3 Cooper Plz
Rm 104
Camden, NJ 08103
Phone (609) 963-6770

3 Cooper Plz
Rm 200
Camden, NJ 08103
Phone (609) 342-2001

3 Cooper Plz
Rm 307
Camden, NJ 08103
Phone (856) 757-7799

1011 Main St
Voorhees, NJ 08043
Phone (215) 592-8720

Organizations & group practices 9

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1093746836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 GATEWAY CENTER WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921024541",
            "telephone_number": "619-515-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7290 EL CAJON BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921151829",
            "telephone_number": "619-906-5347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHOBRIAL-SEDKY",
        "first_name": "KARIM",
        "middle_name": "WAGUIH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA09342600",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A119201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30608012",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.