Douglas Dobecki, Medical Doctor, Incorporated

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

A81761 Issued in CA

Legal business name

DOUGLAS DOBECKI, MEDICAL DOCTOR, INCORPORATED

Practice address

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

Phone

(858) 576-1011

Fax

(858) 576-1025

NPI assigned

Jun 25, 2013

Organization subpart

No

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

Authorized official

Name

Douglas Arthur Dobecki Jr., M.D.NPI 1346213329

Title

President

Phone

(858) 576-1011

Specialties & licenses 1

Addresses

Other names 1

• San Diego Pain Institute Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Douglas Dobecki Medical Doctor Incorporated

  • Anesthesiology Physician
  • Encinitas, CA
  • NPI 1326210386

  O20080509000375

  Same enrollment

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas Arthur Dobecki Jr., M.D.

  • Pain Medicine (Anesthesiology) Physician
  • San Diego, CA
  • NPI 1346213329
  Medicare reassignment NPD Authorized official
• Victoria Lynne Falasco, PA-C

  • Physician Assistant
  • Poway, CA
  • NPI 1194483644
  Medicare reassignment NPD
• Michael Andrew Palacio, DNP, ACNP-BC

  • Acute Care Nurse Practitioner
  • San Diego, CA
  • NPI 1730357229
  Medicare reassignment NPD
• Kylie Bobertz

  • Physician Assistant
  • Carlsbad, CA
  • NPI 1235838665
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492041600000",
    "number": "1861832735",
    "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": {
        "organization_name": "DOUGLAS DOBECKI, MEDICAL DOCTOR, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-25",
        "last_updated": "2017-04-13",
        "status": "A",
        "authorized_official_last_name": "DOBECKI",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-576-1011",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A81761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Diego Pain Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Dougherty, LCSW
• Floyd Arthur Doughty, M.D.
• Marley Doughty
• Douglas Baker Marriage and Family Therapy, Inc.
• Douglas Crowley MD, Inc
• Douglas M Grosmark DMD Incorporated
• Douglas M Keel DO Inc
• Dana Douglas-Hiley, M.S.,CCC
• April Angela Douglas, DPT
• Brooklyn Helene Douglas

• Pain Medicine (Anesthesiology) Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Pain Medicine (Anesthesiology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.