Bobak Thomas Pousti

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

1932736451 Issued in CA

Practice address

655 Euclid Ave Ste 304
National City, CA 91950-2974

Phone

(619) 267-8303

Fax

(619) 267-4835

NPI assigned

Mar 25, 2020

Last updated

Jun 11, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Dermatology

Education

Temple University School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

William F Resh MD Skin and Skin Cancer Medical Group of San Diego IncGroup PAC ID 4082601935, 18 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: bpousti375844@scrippshlth.medalliesdirect.net

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.

• William F Resh MD, Skin & Skin Cancer Medical Group of San Diego, Inc.

  dba San Diego Family Dermatology

  • Specialist
  • National City, CA
  • NPI 1790973162

  Dermatology

  Medicare reassignment Care Compare group NPD
• Scripps Health

  dba Scripps Hospital Medical Services

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD
• William F Resh M.D. Skin & Skin Cancer Medical Group of San Diego, Inc

  dba San Diego Family Dermatology

  • Dermatology Physician
  • San Diego, CA
  • NPI 1831938232
  NPD

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1932736451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8899 UNIVERSITY CENTER LN STE 350",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221010",
            "telephone_number": "858-657-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 EUCLID AVE STE 304",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502974",
            "telephone_number": "619-267-8303",
            "fax_number": "619-267-4835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15725 Pomerado Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Poway",
            "state": "CA",
            "postal_code": "920642057",
            "country_code": "US",
            "telephone_number": "619-267-8303",
            "fax_number": "619-267-4835",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 W Madison Ave",
            "address_purpose": "LOCATION",
            "city": "El Cajon",
            "state": "CA",
            "postal_code": "920203406",
            "country_code": "US",
            "telephone_number": "619-579-5115",
            "fax_number": "619-749-6174",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5222 Balboa Ave # Floors56",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921176904",
            "country_code": "US",
            "telephone_number": "619-267-8303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POUSTI",
        "first_name": "BOBAK",
        "middle_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-25",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "1932736451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Plaza Village Senior Living
• Rowena Q Pobre
• Podiatry Associates of San Diego County, Inc.
• Kevin Franklin Pollock, IDC
• Gary Polsfuss, M.D.
• Kumara S. Prathipati, M.D.
• Precision Eye Care, a Medical Corp Clinic
• Premiere Pulmonary Consultants
• Premiere Pulmonary Consultants a Medical Corporation
• Jazmyne Aaliyah Pressley

• Dermatology Physician in National City, CA
• Providers in National City, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.

Verify at the official NPI Registry.