Individual provider Active NPI

Douglas Arthur Dobecki Jr., M.D.

  • Pain Medicine (Anesthesiology) Physician
  • San Diego, CA
National Provider Identifier
1346213329
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
A81761 Issued in CA
Practice address
7625 Mesa College Dr
Suite 315a
San Diego, CA 92111-5343
Phone
(858) 576-1011
Fax
(858) 576-1025
NPI assigned
Feb 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A81761 CA
Pain Medicine (Anesthesiology) Physician 207LP2900X A81761 CA Primary

Addresses

Primary practice location

7625 Mesa College Dr
Suite 315a
San Diego, CA 92111-5343

Mailing address

7625 Mesa College Dr
Suite 315a
San Diego, CA 92111-5343
Phone (858) 576-1011

Other identifiers 1

IdentifierTypeStateIssuer
00A817610MedicaidCA

Other names 1

  • Douglas Dobecki Professional 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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050927001409 CA Practitioner - Pain ManagementPractitioner - Anesthesiology 6002841285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A81761CAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas Dobecki, Medical Doctor, Incorporated Pain Medicine CurrentSince Oct 29, 2007 Accepting new patients
Scripps Health Current Accepting new patients
Grossmont Hospital Corporation Past Accepting new patients
Sharp Memorial Hospital Past Accepting new patients
Balboa Surgical Institute, Inc. Past Accepting new patients
Scripps Health Past Accepting new patients
Coastal Pain & Spinal Diagnostics Medical Group, Inc. Past Accepting new patients
Scripps Health Past Accepting new patients
Scripps Health Past Accepting new patients

Locations

477 N El Camino Real
Ste C100
Encinitas, CA 92024
Phone (760) 942-8800

7625 Mesa College Dr
Ste 315A
San Diego, CA 92111
Phone (858) 576-1011

5395 Ruffin Rd
Ste 202
San Diego, CA 92123
Phone (619) 688-7800

4910 Directors Pl
Ste 330
San Diego, CA 92121
Phone (760) 753-7127

Interoperability endpoints

  • Direct secure messaging: ddobecki31509@scrippshlth.medalliesdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/JBFCCA/Endpoint/JBFCCA

Organizations & group practices 9

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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1346213329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7625 MESA COLLEGE DR",
            "address_2": "SUITE 315A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921115343",
            "telephone_number": "858-576-1011",
            "fax_number": "858-576-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7625 MESA COLLEGE DR",
            "address_2": "SUITE 315A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921115343",
            "telephone_number": "858-576-1011",
            "fax_number": "858-576-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBECKI",
        "first_name": "DOUGLAS",
        "middle_name": "ARTHUR",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A81761",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A81761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A817610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOUGLAS",
            "last_name": "DOBECKI",
            "credential": "M.D. INC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.