Medical, Not Dental
Oral appliance therapy is an FDA-cleared medical treatment billed through your medical insurance — not dental.
Sleep Apnea Treatment Near Downtown San Diego
Finally sleep through the night — without a CPAP machine.
From East Village lofts to Marina District high-rises, our Hillcrest office is eight minutes up SR-163 or 5th Avenue. Start with a free 15-minute phone consultation with Thomas D'Acquisto and get a straight answer about your snoring, your fatigue, or the CPAP you've stopped using.
Free 15-minute consultation with Thomas D'Acquisto, Sleep Director — even at 2am when you can't sleep
5/5 StarsBoard-Certified Sleep SpecialistInsurance Verified Before First Visit8 minutes from Downtown San Diego
Sleep Apnea Treatment Options for Downtown San Diego Residents
Downtown San Diego never goes fully quiet — but your breathing shouldn't be part of the noise. If you snore hard enough to hear through condo walls, wake up gasping, or drag through workdays no espresso can fix, obstructive sleep apnea is the likeliest explanation nobody has checked for. An estimated 1 in 4 adults in San Diego County has it without a diagnosis. Getting answers takes less time than most downtown commutes: our Hillcrest office is eight minutes north, the sleep study happens at home in your own bed, and treatment can be as simple as a custom oral appliance — a slim mouthpiece that keeps your airway open with no mask, no hose, and no machine humming in a studio apartment. Most medical insurance covers it, including Medicare and TRICARE.
Learn more about how oral appliance therapy works or explore your CPAP alternatives.
Local Impact: An estimated 40,000 residents live in Downtown San Diego — and based on American Academy of Sleep Medicine prevalence data, roughly 9,600 of them may have undiagnosed obstructive sleep apnea, with many attributing their symptoms to the pace of city life.
Why Treating Sleep Apnea Matters
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.
How Sleep Apnea Treatment Works
Three simple steps — starting with a free conversation, not a sales pitch.
1
Free Phone Consultation with our Founder/Director
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.
2
Try an at Home Sleep Study
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.
3
Experience Restful Sleep & Improved Quality of Life
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.
Book My Free Consultation
Or call/text +1 (888) 885-7369 to schedule your free consultation with Thomas
Why Downtown San Diego Residents Choose Us
Downtown professionals are used to gatekeepers; we removed ours. Your first step is a free 15-minute phone consultation with Thomas D'Acquisto, our Founder and Director, who has spent 40 years in sleep medicine and personally routes every patient to the right care. No referral, no portal, no weeks of waiting. If oral appliance therapy fits your case, you'll see Dr. Andrew Gamache, a Diplomate of the International Academy of Sleep — a specialist who wears an oral appliance for his own sleep apnea every night and can talk about it patient to patient. We verify your coverage before your first appointment and accept Medicare, TRICARE, and most major medical plans. Frequent flyer? An oral appliance clears TSA in your pocket. Prefer to make your CPAP work instead? We help with that too.
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
Struggling with CPAP? You Have Options
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.
CPAP
- —Mask and headgear required
- —Machine noise
- —Requires electricity
- —50–60% adherence rate
- —Dry mouth and skin irritation common
Oral Appliance
- Custom-fitted mouthpiece
- Completely silent
- No electricity needed
- ~90% adherence rate
- Fits in your pocket for travel
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.
What Patients Are Saying
5/5 Stars
Rated 5 out of 5 stars
“
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!
”— M.L.
GoogleYour Hillcrest Sleep Apnea Specialist
Dr. Andrew Gamache, DDS, D-IAOS
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.
Diplomate, International Academy of Sleep (D-IAOS)AADSM Qualified Dentist14+ years in Dental Sleep Medicine
View Full ProfileSan 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.
Ready to Sleep Better, Downtown San Diego?
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.
INSURANCE & COVERAGE
We Accept PPOs, Medicare, and TRICARE
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.
PPOsMedicareTRICARE
We Handle Everything
Verification, prior authorization, claims, and reimbursement — our team manages the paperwork so you don’t have to.
Verified Before You Commit
We check your specific coverage and explain your benefits before anything begins. No surprises.
Serving the Downtown San Diego Community
Downtown living concentrates every reason sleep matters. East Village and Gaslamp residents share walls and floors, where a silent treatment beats a whirring one. Marina and Columbia district professionals catch early flights out of San Diego International, where a pocket-sized appliance beats a carry-on full of CPAP gear. Little Italy's restaurant crowd works late and needs its sleep to count. Add the estimated 9,600 downtown residents who may be living with undiagnosed sleep apnea, and the case for an eight-minute drive north gets strong — from Cortez Hill, you're barely past Balboa Park's western edge before you arrive.
8 minutes from Downtown San Diego
From Downtown San Diego, head north on 5th Avenue or take SR-163 North toward Hillcrest. Our office is at 306 Walnut Avenue — just south of University Avenue near 6th Avenue. Street parking and metered spots are available. The drive typically takes 8 minutes.
Get Directions →Learn More About Sleep Apnea Treatment
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Sleep Apnea Treatment Across San Diego
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
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
City Heights
10 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
Take the First Step Tonight
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.