Individual provider Active NPI

Dory Elizabeth Grobeck, PA-C

  • Physician Assistant
  • La Jolla, CA
National Provider Identifier
1144906330
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
68531 Issued in CA
Practice address
8950 Villa la Jolla Dr Ste C227
La Jolla, CA 92037-1712
Phone
(619) 841-2627
Fax
(833) 455-7977
NPI assigned
Jun 23, 2023
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 9783 AZ
Medical Physician Assistant 363AM0700X AZ
Physician Assistant 363A00000X 68531 CA Primary

Addresses

Primary practice location

8950 Villa la Jolla Dr Ste C227
La Jolla, CA 92037-1712

Mailing address

8950 Villa la Jolla Dr Ste C227
La Jolla, CA 92037-1712
Phone (619) 841-2627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230809004082 AZ Practitioner - Physician Assistant 7517329477 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner - University Primary Care Physicians LLCGroup PAC ID 2365746450, 45 clinicians

Practice addresses (Care Compare)

1300 N 12TH St
Phoenix, AZ 85006-2849

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
68531CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Seen Medical Group of San Diego, PC CurrentSince Oct 12, 2026 Accepting new patients
Seen Medical Group of Ca PC CurrentSince Oct 12, 2026 Accepting new patients
Camelback Sports Therapy LLC PastSince Nov 1, 2015 Accepting new patients

Locations

8950 Villa La Jolla Dr
Ste C227
La Jolla, CA 92037
Phone (619) 704-3394

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1687478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1144906330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 VILLA LA JOLLA DR STE C227",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371712",
            "telephone_number": "619-841-2627",
            "fax_number": "833-455-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 VILLA LA JOLLA DR STE C227",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371712",
            "telephone_number": "619-841-2627",
            "fax_number": "833-455-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROBECK",
        "first_name": "DORY",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-23",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "9783",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "68531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.