Active NPI
Dmitry E Primak, MD
- Psychiatry Physician
- Encinitas, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- C142611
- Practice address
- 351 Santa Fe Dr Ste 200
Encinitas, CA 92024-5137 - Phone
- (858) 279-1223
- NPI assigned
- Sep 5, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 25MA064744 | NJ | |
| Psychiatry Physician | 2084P0800X | C142611 | CA | Primary |
Addresses
Primary practice location
351 Santa Fe Dr Ste 200
Encinitas, CA 92024-5137
Mailing address
351 Santa Fe Dr Ste 200
Encinitas, CA 92024-5137
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
351 Santa Fe Dr
Suite 200
Encinitas, CA 92024-5137
Phone (858) 279-1223
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C142611 | CA | MD | Psychiatry Physician |
| 25MA064744 | NJ | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Coast Psychiatric Associates Inc | Psychiatry | Current | Accepting new patients |
| Psycare Inc | Current | Accepting new patients |
Locations
1720 El Camino Real
Ste 140
Burlingame, CA 94010
2300 Boswell Rd
Ste 275
Chula Vista, CA 91914
Phone (585) 898-0612
1480 64th St
Ste 150
Emeryville, CA 94608
Phone (415) 296-5292
351 Santa Fe Dr
Ste 200
Encinitas, CA 92024
Phone (858) 342-0585
2365 Iron Point Rd
Ste 210
Folsom, CA 95630
Phone (925) 360-5264
4040 Barranca Pkwy
Ste 260
Irvine, CA 92604
8881 Fletcher Pkwy
Ste 350
La Mesa, CA 91942
Phone (619) 465-9792
6200 Wilshire Blvd
Ste 1410
Los Angeles, CA 90048
Phone (323) 403-0474
4361 Latham St
Ste 220
Riverside, CA 92501
Phone (206) 906-5385
5222 Pirrone Ct
Ste 101A
Salida, CA 95368
12264 El Camino Real
Ste 203
San Diego, CA 92130
4540 Kearny Villa Rd
Ste 103
San Diego, CA 92123
Phone (858) 259-1223
4550 Kearny Villa Rd
Ste 116
San Diego, CA 92123
Phone (619) 279-1223
490 Post St
Ste 1043
San Francisco, CA 94102
Phone (415) 409-0944
1245 S Winchester Blvd
Ste 110
San Jose, CA 95128
Phone (415) 296-5299
Interoperability endpoints
- psycareassociates.dmitryprimak@143255.advancedmd-direct.com
Organizations & group practices 2
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.
-
- Clinical Psychologist
- Scottsdale, AZ
- NPI 1023125465
CA, Psychiatry
-
- Mental Health Counselor
- San Diego, CA
- NPI 1811927106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740960000000",
"number": "1609860733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "351 SANTA FE DR STE 200",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920245137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 SANTA FE DR STE 200",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920245137",
"telephone_number": "858-279-1223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIMAK",
"first_name": "DMITRY",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-05",
"last_updated": "2025-03-03",
"certification_date": "2025-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25MA064744",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "C142611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Encinitas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.