Active NPI
Patryk Debski
- Physician Assistant
- San Diego, CA
National Provider Identifier
1144912718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 58161
- Practice address
- 6712 Glidden St Apt N3
San Diego, CA 92111-7305 - Phone
- (224) 628-2704
- NPI assigned
- May 23, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 58161 | CA | Primary |
Addresses
Primary practice location
6712 Glidden St Apt N3
San Diego, CA 92111-7305
Mailing address
6712 Glidden St Apt N3
San Diego, CA 92111-7305
Phone (224) 628-2704
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58161 | CA | MD | Dentist |
Interoperability endpoints
- patryk.debski.1@12903.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684800000000",
"number": "1144912718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6712 GLIDDEN ST APT N3",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921117305",
"telephone_number": "224-628-2704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6712 GLIDDEN ST APT N3",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921117305",
"telephone_number": "224-628-2704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBSKI",
"first_name": "PATRYK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-05-23",
"last_updated": "2023-05-23",
"certification_date": "2023-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "58161",
"primary": true
}
],
"identifiers": [],
"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 May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.