Individual provider Active NPI

Maya Firsowicz, MD

  • Dermatology Physician
  • La Mesa, CA
National Provider Identifier
1194353631
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A195623 Issued in CA
Practice address
8860 Center Dr Ste 300
La Mesa, CA 91942-7001
Phone
(619) 462-1670
Fax
(619) 462-3209
NPI assigned
Mar 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A195623 CA Primary

Addresses

Primary practice location

8860 Center Dr Ste 300
La Mesa, CA 91942-7001

Mailing address

8860 Center Dr Ste 300
La Mesa, CA 91942-7001
Phone (619) 462-1670

Other practice location 1

489 Saxony Pl Ste 101
Encinitas, CA 92024-2875
Phone (760) 257-5550

Other practice location 2

5550 Carmel Mountain Rd Ste 206
San Diego, CA 92130-4861
Phone (858) 943-2540

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260520003866 CA Practitioner - Dermatology 6709355522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Baylor College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grossmont Dermatology Medical ClinicGroup PAC ID 4981672342, 10 clinicians

Practice addresses (Care Compare)

8860 Ctr Dr
Suite 300
La Mesa, CA 91942-7001
Phone 6194621670215

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A195623CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen William Doggett, M.D. PA CurrentSince Apr 1, 2026 Accepting new patients
Grossmont Dermatology Medical Clinic Dermatology CurrentSince Apr 1, 2026 Accepting new patients
Scripps Health PastSince Aug 3, 2025 Accepting new patients
South Bay Skin & Cancer Medical Group, Inc. Dermatology PastSince Aug 3, 2025 Accepting new patients

Locations

489 Saxony Pl
Ste 101
Encinitas, CA 92024
Phone (760) 257-5550

8860 Center Dr
Ste 300
La Mesa, CA 91942
Phone (619) 462-1670

5550 Carmel Mountain Rd
Ste 206
San Diego, CA 92130
Phone (858) 943-2540

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.

NPI Registry JSON

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1194353631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8860 CENTER DR STE 300",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919427001",
            "telephone_number": "619-462-1670",
            "fax_number": "619-462-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8860 CENTER DR STE 300",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919427001",
            "telephone_number": "619-462-1670",
            "fax_number": "619-462-3209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "489 Saxony Pl Ste 101",
            "address_purpose": "LOCATION",
            "city": "Encinitas",
            "state": "CA",
            "postal_code": "920242875",
            "country_code": "US",
            "telephone_number": "760-257-5550",
            "fax_number": "858-252-2053",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5550 Carmel Mountain Rd Ste 206",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921304861",
            "country_code": "US",
            "telephone_number": "858-943-2540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIRSOWICZ",
        "first_name": "MAYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A195623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.