Active NPI
Maya Firsowicz, MD
- Dermatology Physician
- La Mesa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- A195623
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| A195623 | CA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephen William Doggett, M.D. PA | Current | Accepting new patients | |
| Grossmont Dermatology Medical Clinic | Dermatology | Current | Accepting new patients |
| Scripps Health | Past | Accepting new patients | |
| South Bay Skin & Cancer Medical Group, Inc. | Dermatology | Past | 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.
-
- Procedural Dermatology Physician
- La Mesa, CA
- NPI 1194838441
-
- Radiation Oncology Physician
- Newport Beach, CA
- NPI 1427281666
-
- Clinical Medical Laboratory
- La Jolla, CA
- NPI 1427034990
-
- Procedural Dermatology Physician
- Chula Vista, CA
- NPI 1033289574
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.