Call Today

+1 858-224-1866

}
Hours

Mon – Fri, 8am to 5pm

Make an Appointment
Call Today

+1 858-224-1866

}
Hours

Mon – Fri, 8am to 5pm

Make an Appointment

Frequently Asked Questions

 

I saw Dr. Mashayekhi before, at Palomar Health Medical Group (PHMG)/Arch Health, what do I need to know?

Due to circumstances beyond my control, I will be leaving Palomar Health Medical Group (PHMG) effective April 12 th, 2024. Due to this news, I will be starting my own medical practice in San Diego, Dr. PM Sleep and Wellness Medical Center. To ensure the continuity of your care, I will be providing both Sleep Medicine and Weight Management services. I will continue to offer virtual visits and in-person visits starting May 1st at 3 locations.

How to re-establish care with Dr. Mashay ?

After March 25th, you can re-establish care as a new patient with her at Dr. PM Sleep and Wellness by completing new patient forms online or calling us for assistance. You can visit us online or call us at (858) 240-0722. We look forward to seeing you in our new clinic, continuing to strive for excellence, and provide you with the highest level of personalized care.

The practice will accept most insurance carriers and remain an in-network provider for Palomar Health/Sharp Community Health Group. If you have an HMO plan, you will need to get a new referral and authorization. Please request this from your PCP/referring provider after April 15th.

I am worried about not having my medication refills, what do I do?

Not to worry…you will be able to reach us as the phone lines will transfer after April 12th and Dr. Mashay will accomodate for medication refills when appropriate. You can ask your PCP if they are willing to give you medication refills until you are able to see her or another specialist. For Weight Management patients referred by Dr. Hanna, please return to Dr. Karen Hanna for a new referral back to see me or she can redirect to PHMG endocrinologist, Dr. Sadaf Farasat.

How to obtain PHMG medical records for your future appointment with Dr. Mashay?
PHMG is currently the custodian of your medical records. You can request to have your records transferred by completing this form and your records will be transferred directly. Alternatively, you can request to have your records transferred by emailing  patient@sdsleepdr.com to provide you the medical release form. Patient charts will remain at PHMG for all patients without completed forms. For medical records questions, please contact (858) 675-3199 or email medicalrecords@phmg.org.
Where are Dr. Mashay's new locations ?

Dr. PM Sleep and Wellness Locations:

  • 1711 E Valley Pkwy, Unit 110  Escondido, CA 92027 – In-person on Tuesdays ONLY
  • 12395 El Camino Real, Suite 209 San Diego, CA 92130 – In-person on Wednesdays and Thursdays
  • 3230 Waring Court, Suite C Oceanside, CA 92056 – In-person ONLY the first Wednesday of the month (until later this year)
What to do if you have an appointment with Dr. Mashay at Palomar Health Medical Group?

Our team will be available to transfer currently scheduled appointments and schedule new appointments at one of our new locations. After April 15th, please call (858) 224-1866 to confirm your appointment and discuss the transition process.

Do you take my insurance?
We take Medicare, Tricare, most PPOs, Sharp Health and many more. If you have an HMO, you will require a referral and authorization. Please call us to confirm we are in-network with your insurance.
What is Sleep Medicine?

Sleep Medicine physicians specialize in diagnosis and treatment of disorders of initiating and maintaining sleep (insomnia), disorders of abnormal sleep (parasomnias), as well as disorders of excessive daytime sleepiness.

Sleep medicine is a multidisciplinary specialty, which involves neurology, ENT, pulmonary, psychiatry/psychologists in addition to primary care physicians.

Although 50% of the population has had a sleep disorder at some point in their life, most of these are temporary and generally require temporary treatment, depending on the type of disorder. Sleep disorders that are more long-standing probably should be evaluated by physicians who have received specialty training in sleep medicine and have a better understanding of new diagnostic and treatment approaches in all types of sleep disorders.

What are some Treatments for Sleep Disorders?
  • Nasal CPAP and BiPAP
  • Surgical Options
  • Weight Loss
  • Behavior Modification
  • Cognitive Behavior Therapy for Insomnia
  • Medications
What are some Tests for Sleep Disorders?
  • Polysomnography
  • Multiple Sleep Latency Testing
  • Various Home Sleep Apnea tests
  • Sleep Diary
  • Actigraphy
  • Other Diagnostic Tests
Where Can I Find Additional Information on Sleep Disorders?

Here are some additional links for more information:

Can I Schedule a Sleep Study?

Yes! Please schedule an appointment and we will evaluate if a home sleep test or an in-lab sleep study is more appropriate.

Do I Have Sleep Apnea?

Take the quiz here.

What are other Sleep-Related Disorders, besides Obstructive Sleep Apnea?
What is the Difference Between Being Overweight and being obese?
Determining whether someone is overweight or obese is often determined by assessing a person’s body mass index (BMI), which is a ratio between weight and height. If a patient’s BMI falls between 25 and 29.9, it is considered to be overweight. If the BMI is 30 or higher, the patient is considered to be obese. There are other measurements and scales that are used to determine risk for weight related health risks such as waist circumference, percent of body fat, ethic background and undergoing medical conditions.
What is the main cause of Obesity?
The cause of obesity is defined by many factors. Some of those factors include genetics, cultural factors, environmental factors, behavioral factors, sleep disruptions, metabolic medical conditions, medications, not getting enough physical activity or increased food intake.
Why is Obesity a growing problem?
Obesity is becoming a world-wide pandemic because of changes in the way we live. Many of our behaviors, jobs and activities have become less physically demanding and the time assigned for physical activity and sleep has been minimized. For example, we tend to drive more and walk less. Also we spend many more hours sitting in front of screens than ever before. In addition, our habits and beliefs around food have also changed.
What is the best way to lose weight?
Slow and steady wins the marathon when it comes down to weight loss. Weight loss of 1 to 2 pounds per week while pursuing a supervised weight loss program that includes goal oriented physical activity, specific nutritional modifications, medication support and behavioral interventions is in most cases advised. In order to achieve a long term weight loss, it needs to be sustainable and not too restrictive. Weight loss plan strategies ultimately need to alter the balance between food intake and calories burned. The implementation of behavioral modifications will promote changes in behaviors that ultimately influence body weight and the motivation to continue to pursue weight loss.
How much weight will I lose?
Every patient responds differently to a weight loss program. It is important to match the patient to the right plan. It is well proven that a 5-10 % weight loss over 3 to 6 months is a reasonable starting point. A successful program combines an adequate nutrition plan, a goal-specific physical activity plan and behavioral modifications. It is important to stress that when pursuing weight loss, there is no quick fix.
What treatment options are usually covered or not covered by health insurance?
The coverage and individual costs of weight management programs vary depending on the services offered. Health insurance coverage varies but services are typically covered to some extent, especially if you have additional obesity-related health conditions such as high blood pressure, thyroid disorders or type 2 diabetes. Most eligible PPO plans cover an approximate average of 60% of the weight loss program cost. In most cases, a registered dietitian consultation or meal supplements are not covered by insurance.

We can run your insurance to determine your eligibility for coverage.

Am I a candidate for Bariatric Surgery?
A medical provider may consider weight loss surgery if your body mass index (BMI) is above 35 with risk factors, or about 40 with no risk factors. Doctors also take into consideration your medical history and your attempts to lose weight. In most cases, non-surgical weight loss is recommended prior to surgery to reduce the risk of any weight related surgical intervention.

Feel free to ask the doctor during your visit.

Dr. PM Sleep and Wellness Medical Center

2 Different Locations to Serve You!

Phone: 858-224-1866
Fax: 858-207-5042

Carmel Valley

12395 El Camino Real
Suite 209
San Diego, CA 92130

Oceanside

3230 Waring Court
Suite C
Oceanside, CA 92056

All content and information on this website are for informational and educational purposes only and is not a replacement or substitute for professional medical advice, diagnosis, or treatment. Please consult with a medical professional or healthcare provider. Dr. PM Corp is not liable for risks or issues associated with using or acting upon the information on this site.