Medical, Not Dental
Oral appliance therapy is an FDA-cleared medical treatment billed through your medical insurance — not dental.
Finally sleep through the night — without a CPAP machine.
University Avenue runs straight from City Heights to our Hillcrest office, about 10 minutes door to door. If snoring, exhaustion, or a CPAP you can't tolerate is wearing you down, one free 15-minute phone call with Thomas D'Acquisto will map out your options. No referral, no pressure.
Free 15-minute consultation with Thomas D'Acquisto, Sleep Director — even at 2am when you can't sleep
City Heights works hard, and sleep apnea makes everything harder: shifts feel heavier, mornings start slower, and the fatigue gets blamed on stress instead of the real cause. If you snore loudly, wake up gasping, or have been told you stop breathing at night, you deserve a straight answer. Our Hillcrest office is a 10-minute drive west on University Avenue, and we treat sleep apnea with custom oral appliances: mask-free, FDA-cleared mouthpieces that keep your airway open all night. Testing is done at home in your own bed, no lab stay, and most medical insurance covers treatment, including Medicare and TRICARE.
Learn more about how oral appliance therapy works or explore your CPAP alternatives.
Local Impact: With approximately 80,000 residents, an estimated 16,000 to 20,000 adults in City Heights may have obstructive sleep apnea. Many remain undiagnosed because symptoms like fatigue and snoring are dismissed as stress or poor sleep habits. This estimate is based on American Academy of Sleep Medicine prevalence data.
Untreated obstructive sleep apnea doesn't just rob you of sleep — it increases your risk of high blood pressure, heart attack, stroke, Type 2 diabetes, and motor vehicle accidents. The American Academy of Sleep Medicine estimates that untreated sleep apnea costs the U.S. economy $149.6 billion annually in healthcare costs and lost productivity. The sooner you get tested, the sooner you can protect your health — and start waking up rested.
Three simple steps — starting with a free conversation, not a sales pitch.
Start with a free 15-minute consultation with Thomas D'Acquisto, our Founder/Director with 40 years of experience. He'll review your symptoms, answer your questions, and determine your best next step. No pressure, no commitment — call or text +1 (888) 885-7369.
If a sleep study is needed, we provide an FDA-cleared home sleep test. Pick up the device from our Hillcrest office, sleep with it one night in your own bed, and have results reviewed by a board-certified sleep physician within days. No overnight lab visit.
Thomas connects you with the right specialist for your needs. For most patients, that's a custom-fitted oral appliance — silent, portable, and covered by most medical insurance. Most patients notice improvement within the first week.
Or call/text +1 (888) 885-7369 to schedule your free consultation with Thomas
From the first call, the process is built to be simple. Thomas D'Acquisto, our Founder/Director with nearly 40 years of experience, starts every patient with a free 15-minute phone consultation: symptoms, insurance, options, plain answers, no jargon. If oral appliance therapy fits your situation, Dr. Andrew Gamache provides your treatment. He's a Diplomate of the International Academy of Sleep, and he wears an oral appliance every night for his own sleep apnea. We verify your insurance before your appointment so there are no surprise bills, and we accept Medicare, TRICARE, and most major medical plans.
40 Years Experience
Thomas D'Acquisto, Founder/Director
Doctor Uses OAT Himself
Dr. Gamache treats his own sleep apnea nightly
Insurance First
We verify coverage before your first visit
No Pushy Sales Process
Free consultation — zero pressure, zero commitment
If you've been diagnosed with sleep apnea and prescribed a CPAP machine but can't tolerate it, you're not alone. Research shows that 30–50% of CPAP users abandon therapy within the first year. The mask discomfort, air leaks, noise, dry mouth, and claustrophobia are real — and they're the reason millions of people live with untreated sleep apnea.
Oral appliance therapy is an FDA-cleared alternative that the American Academy of Sleep Medicine recommends as a first-line treatment for mild to moderate obstructive sleep apnea, and as an option for severe cases when CPAP is not tolerated. It's a custom-fitted mouthpiece — similar to a retainer — that gently repositions your jaw to keep your airway open. No mask, no machine, no noise.
Already have a CPAP diagnosis? You don't need a new sleep study to switch to an oral appliance. Learn why 50–60% of CPAP users quit within a year. Call Thomas at +1 (888) 885-7369 to discuss your options.
I went from severe sleep apnea to a normal level of 0.9 AHI with my custom fitted mouth piece. This was a huge game changer! More importantly, I feel the best I've ever felt!
”
San Diego Sleep Therapy
Diplomate, International Academy of Sleep
Dr. Andrew Gamache is a Diplomate of the International Academy of Sleep and an AADSM Qualified Dentist with over 14 years of experience in dental sleep medicine. Dr. Gamache understands sleep apnea firsthand — he has sleep apnea himself and uses oral appliance therapy personally. This gives him a unique perspective when working with patients to find the most comfortable and effective treatment. He leads San Diego Sleep Therapy with locations in Sorrento Valley and Hillcrest, providing comprehensive CPAP alternative solutions including oral appliance therapy and Solea.
Dr. Andrew Gamache treats his own sleep apnea with an oral appliance every night. He doesn't just prescribe the treatment — he lives with it.
San Diego Sleep Therapy
Start with a free consultation with Thomas D'Acquisto. He'll review your situation and connect you with Dr. Andrew Gamache if treatment is right for you.
Start with a free consultation with Thomas D’Acquisto — he’ll review your situation and connect you with the right specialist. Call or text +1 (888) 885-7369.
Oral appliance therapy is FDA-cleared and billed through your medical insurance — not dental. For other plans, our team verifies your specific benefits at no cost, before anything begins.
Oral appliance therapy is an FDA-cleared medical treatment billed through your medical insurance — not dental.
Verification, prior authorization, claims, and reimbursement — our team manages the paperwork so you don’t have to.
We check your specific coverage and explain your benefits before anything begins. No surprises.
City Heights stretches along University Avenue and El Cajon Boulevard east of I-15, and it may be the most international square mile in San Diego: Somali restaurants beside Vietnamese pho shops, Ethiopian markets alongside Mexican panaderias, dozens of languages spoken around Teralta Park. It's a working neighborhood, and untreated sleep apnea quietly taxes exactly what working families depend on: energy, focus, and long-term health. Our Hillcrest office is 10 minutes west, straight down University Avenue, and treatment is more accessible than most people expect. The consultation is free, testing happens at home, and oral appliance therapy is billed through medical insurance.
10 minutes from City Heights
From City Heights, head west on University Avenue for about 3.5 miles. Our Hillcrest office is at 306 Walnut Avenue — near the intersection of University Avenue and 6th Avenue. Street parking and metered spots are available. The drive takes about 10 minutes.
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Sleep apnea treatment is available for patients throughout the San Diego area from our Hillcrest office.
North Park
7 minutes from Hillcrest
Mission Hills
5 minutes from Hillcrest
Bankers Hill
5 minutes from Hillcrest
University Heights
5 minutes from Hillcrest
Normal Heights
8 minutes from Hillcrest
South Park
8 minutes from Hillcrest
Mission Valley
10 minutes from Hillcrest
Pacific Beach
12 minutes from Hillcrest
Downtown San Diego
8 minutes from Hillcrest
Old Town
7 minutes from Hillcrest
Kensington
8 minutes from Hillcrest
Golden Hill
8 minutes from Hillcrest
Clairemont
12 minutes from Hillcrest
Ocean Beach
12 minutes from Hillcrest
Point Loma
14 minutes from Hillcrest
Bay Park
10 minutes from Hillcrest
Linda Vista
11 minutes from Hillcrest
La Mesa
15 minutes from Hillcrest
College Area
14 minutes from Hillcrest
Talmadge
10 minutes from Hillcrest
Lemon Grove
16 minutes from Hillcrest
Coronado
15 minutes from Hillcrest
Bay Ho
9 minutes from Hillcrest
Call or text Thomas D’Acquisto at +1 (888) 885-7369 — even at 2am when you can’t sleep. Or book your free consultation online.