Active NPI
Kylie Bobertz
- Physician Assistant
- Carlsbad, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA63405
- Practice address
- 1905 Calle Barcelona Ste 211
Carlsbad, CA 92009-8452 - Phone
- (858) 554-1212
- Fax
- (858) 795-1195
- NPI assigned
- Feb 24, 2023
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA63405 | CA | Primary |
Addresses
Primary practice location
1905 Calle Barcelona Ste 211
Carlsbad, CA 92009-8452
Mailing address
9850 Genesee Ave Ste 320
La Jolla, CA 92037-1208
Phone (858) 554-1212
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Philadelphia Col of Osteo Med, Sewanee, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1905 Calle Barcelona
Suite 211
Carlsbad, CA 92009-8452
Phone (858) 766-6007
3180 University Ave
Suite 120
San Diego, CA 92104-2046
Phone (858) 554-1212
354 Santa Fe Dr
Encinitas, CA 92024-5142
Phone (760) 943-8806
3737 Moraga Ave
Suite B103
San Diego, CA 92117-5352
Phone (858) 799-0855
4275 Mission Bay Dr
San Diego, CA 92109-5775
4358 Bonita Rd
Suite 400
Bonita, CA 91902-1421
Phone 619695126645
477 N El Camino Real
Suite A200
Encinitas, CA 92024-1350
Phone (858) 766-6007
7855 Ivanhoe Ave
Suite 110
La Jolla, CA 92037-4507
Phone (858) 869-0188
Hospital & facility affiliations
- Scripps Memorial Hospital - Encinitas
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA63405 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acute Care Associates, Inc | Current | Accepting new patients | |
| Balboa Surgical Institute, Inc. | Past | Accepting new patients | |
| UC San Diego Health - Rancho Family Medical Group | Past | Accepting new patients | |
| Douglas Dobecki, Medical Doctor, Incorporated | Past | Accepting new patients |
Locations
354 Santa Fe Dr
Encinitas, CA 92024
Phone (760) 230-2251
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 and National Provider Directory roles.
-
- Pulmonary Disease Physician
- Encinitas, CA
- NPI 1841387214
-
- Primary Care Clinic/Center
- La Jolla, CA
- NPI 1134309305
-
- Ambulatory Surgical Clinic/Center
- San Diego, CA
- NPI 1275006173
-
- Pain Medicine (Anesthesiology) Physician
- San Diego, CA
- NPI 1861832735
-
- Multi-Specialty Clinic/Center
- Temecula, CA
- NPI 1003385071
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Encinitas, CA
- NPI 1700829199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754265600000",
"number": "1235838665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9850 GENESEE AVE STE 320",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371208",
"telephone_number": "858-554-1212",
"fax_number": "858-795-1195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1905 CALLE BARCELONA STE 211",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920098452",
"telephone_number": "858-554-1212",
"fax_number": "858-795-1195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOBERTZ",
"first_name": "KYLIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-24",
"last_updated": "2025-08-04",
"certification_date": "2025-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA63405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; 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.