Individual provider Active NPI

Joseph William Dombrowsky, M.D.

  • Sleep Medicine (Family Medicine) Physician
  • San Diego, CA
National Provider Identifier
1578723151
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X
License
C172392 Issued in CA
Practice address
5471 Kearny Villa Rd Ste 202
San Diego, CA 92123-1141
Phone
(619) 299-6299
NPI assigned
Jun 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0116020672 VA
Sleep Medicine (Family Medicine) Physician 207QS1201X 0101246854 VA
Sleep Medicine (Family Medicine) Physician 207QS1201X C172392 CA Primary

Addresses

Primary practice location

5471 Kearny Villa Rd Ste 202
San Diego, CA 92123-1141

Mailing address

910K E Redd Rd Ste 506
El Paso, TX 79912-7324
Phone (301) 646-2994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190919002380 TX Practitioner - Family Practice 3971803347 Reassigns benefits to 1 organization
I20210630004257 CA Practitioner - Sleep Medicine 3971803347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Uniformed Services Uhs Fe Hebert School of Med, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SD Diagnostics IncGroup PAC ID 3870723950, shared by 2 NPIs, 6 clinicians

Practice addresses (Care Compare)

3721 Executive Ctr Dr
Suite 260
Austin, TX 78731-1645
Phone 86680194402213

5471 Kearny Villa Rd
Suite 202
San Diego, CA 92123-1141
Phone (866) 801-9440

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0116020672VAMDFamily Medicine Physician
C172392CAMDSleep Medicine (Family Medicine) Physician
0101246854VAMDSleep Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SD Diagnostics Inc CurrentSince Jun 25, 2021 Accepting new patients
SD Diagnostics Inc Sleep Medicine CurrentSince Jun 25, 2021 Accepting new patients
Gonzalo a Diaz CurrentSince Nov 23, 2020 Accepting new patients

Locations

5471 Kearny Villa Rd
Ste 200
San Diego, CA 92123
Phone (619) 299-6299

5471 Kearny Villa Rd
Ste 202
San Diego, CA 92123
Phone (619) 279-6615

3721 Executive Center Dr
Ste 260
Austin, TX 78731
Phone 86680194402213

7430 N Mesa St
El Paso, TX 79912
Phone (915) 564-4944

7430 N Mesa St
#8
El Paso, TX 79912
Phone (915) 875-1801

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1578723151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910K E REDD RD STE 506",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799127324",
            "telephone_number": "301-646-2994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5471 KEARNY VILLA RD STE 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231141",
            "telephone_number": "619-299-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMBROWSKY",
        "first_name": "JOSEPH",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-17",
        "last_updated": "2022-07-06",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0116020672",
            "primary": false
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "VA",
            "license": "0101246854",
            "primary": false
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "CA",
            "license": "C172392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.