Individual provider Active NPI

Pegah Maryam Mashayekhi, D.O.

  • Sleep Medicine (Internal Medicine) Physician
  • San Diego, CA
National Provider Identifier
1851650584
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
20A12987 Issued in CA
Practice address
12395 El Camino Real Ste 209
San Diego, CA 92130-3084
Phone
(858) 224-1866
Fax
(858) 207-5042
NPI assigned
May 15, 2012
Last updated
Mar 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A12987 CA
Obesity Medicine (Internal Medicine) Physician 207RB0002X 20A12987 CA
Sleep Medicine (Internal Medicine) Physician 207RS0012X 20A12987 CA Primary

Addresses

Primary practice location

12395 El Camino Real Ste 209
San Diego, CA 92130-3084

Mailing address

12395 El Camino Real Suite 209
San Diego, CA 92130
Phone (858) 224-1866

Other practice location 1

3230 Waring Ct Ste C
Oceanside, CA 92056-4509
Phone (858) 224-1866

Other practice location 2

250 Prospect Pl
Coronado, CA 92118-1943
Phone (619) 522-7118

Other identifiers 2

IdentifierTypeStateIssuer
20A12987OtherCAMEDICAL LICENSE
Q9433OtherTXTEXAS MEDICAL BOARD

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
I20160713001165 CA Practitioner - Sleep MedicinePractitioner - Internal Medicine 8325330277 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sleep MedicineAlso: Internal Medicine
Education
Arizona College of Osteopathic Medicine Mid Western University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dr PM CorpGroup PAC ID 0244679900, 3 clinicians

Practice addresses (Care Compare)

3230 Waring CT
Suite C
Oceanside, CA 92056-4509
Phone (619) 203-3414

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12987CAMDOptometrist
20A12987CAMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SD Diagnostics Inc Sleep Medicine CurrentSince Dec 13, 2021 Accepting new patients
SD Diagnostics Inc CurrentSince Dec 13, 2021 Accepting new patients
Dr. PM Corp. Sleep Medicine CurrentSince Apr 1, 2024 Accepting new patients
Sharp Coronado Hospital and Healthcare Center Past Accepting new patients
Palomar Health Past Accepting new patients

Locations

3230 Waring Ct
Ste C
Oceanside, CA 92056
Phone (619) 203-3414

12395 El Camino Real
Ste 209
San Diego, CA 92130
Phone (858) 224-1866

250 Prospect Pl
San Diego, CA 92118
Phone (619) 522-3600

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

Interoperability endpoints

  • Direct secure messaging: pegah.mashayekhido.p1@direct.arch.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1851650584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12395 EL CAMINO REAL SUITE 209",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92130",
            "telephone_number": "858-224-1866",
            "fax_number": "858-207-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12395 EL CAMINO REAL STE 209",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303084",
            "telephone_number": "858-224-1866",
            "fax_number": "858-207-5042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3230 Waring Ct Ste C",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920564509",
            "country_code": "US",
            "telephone_number": "858-224-1866",
            "fax_number": "858-207-5042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Prospect Pl",
            "address_purpose": "LOCATION",
            "city": "Coronado",
            "state": "CA",
            "postal_code": "921181943",
            "country_code": "US",
            "telephone_number": "619-522-7118",
            "fax_number": "619-522-7119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASHAYEKHI",
        "first_name": "PEGAH",
        "middle_name": "MARYAM",
        "name_prefix": "Ms.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-15",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A12987",
            "primary": false
        },
        {
            "code": "207RB0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "CA",
            "license": "20A12987",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CA",
            "license": "20A12987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "20A12987",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "Q9433",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.