Individual provider Active NPI

Katherine Barringer, ARNP

  • Gerontology Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1255732228
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
95018162 Issued in CA
Practice address
2810 Camino del Rio S Ste 102
San Diego, CA 92108-3819
Phone
(619) 299-1419
Fax
(858) 461-6008
NPI assigned
Sep 10, 2014
Last updated
Nov 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X ARNP3360702 FL
Adult Health Nurse Practitioner 363LA2200X ARNP3360702 FL
Gerontology Nurse Practitioner 363LG0600X ARNP3360702 FL
Gerontology Nurse Practitioner 363LG0600X 95018162 CA Primary

Addresses

Primary practice location

2810 Camino del Rio S Ste 102
San Diego, CA 92108-3819

Mailing address

2810 Camino del Rio S Ste 102
San Diego, CA 92108-3819
Phone (619) 299-1419

Other names 1

  • Katherine Dybalski Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211124001493 CA Practitioner - Nurse Practitioner 3072735125 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Del Sur HealthcareGroup PAC ID 1850827395, 61 clinicians

Practice addresses (Care Compare)

436 S Magnolia Ave
Suite 101
El Cajon, CA 92020-5219
Phone (760) 978-8596

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP3360702FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
J M Geiss DO Apc CurrentSince Nov 10, 2025 Accepting new patients
Senior Doc Integrated Med, PC CurrentSince Nov 10, 2025 Accepting new patients
Geri Connection CurrentSince Dec 1, 2022 Accepting new patients
Bay View Health Solutions CurrentSince Feb 15, 2025 Accepting new patients
Senior Medical Associates, Inc. CurrentSince Nov 29, 2021 Accepting new patients
Myndfull Care Management California PC CurrentSince Dec 1, 2022 Accepting new patients
Del Sur Healthcare CurrentSince Nov 1, 2024 Accepting new patients
Myndfull Care California PC CurrentSince Feb 5, 2024 Accepting new patients

Locations

1999 S Bascom Ave
Ste 700
Campbell, CA 95008
Phone (760) 978-8596

436 S Magnolia Ave
Ste 101
El Cajon, CA 92020
Phone (760) 978-8596

520 Superior Ave
Ste 255
Newport Beach, CA 92663
Phone (949) 720-9266

15644 Pomerado Rd
Ste 202
Poway, CA 92064
Phone (619) 320-8090

2810 Camino del Rio S
Ste 102
San Diego, CA 92108
Phone (619) 299-1419

8445 Camino Santa Fe
Ste 215
San Diego, CA 92121
Phone (619) 541-3246

5 Hutton Centre Dr
Ste 950
Santa Ana, CA 92707
Phone (855) 434-7663

28650 Newhall Ranch Rd
Santa Clarita, CA 91355
Phone (661) 347-0051

9436 W Lake Mead Blvd
Ste 5
Las Vegas, NV 89134
Phone (760) 978-8596

Organizations & group practices 8

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 3

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": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1255732228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 CAMINO DEL RIO S STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083819",
            "telephone_number": "619-299-1419",
            "fax_number": "858-461-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 CAMINO DEL RIO S STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083819",
            "telephone_number": "619-299-1419",
            "fax_number": "858-461-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRINGER",
        "first_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-10",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "ARNP3360702",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP3360702",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP3360702",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95018162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "DYBALSKI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.