Active NPI
Elizabeth Sophy
- Family Medicine Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A157547
- Practice address
- 10790 Rancho Bernardo Rd
San Diego, CA 92127-5705 - Phone
- (858) 927-5527
- NPI assigned
- Apr 14, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | A157547 | CA | Primary |
Addresses
Primary practice location
10790 Rancho Bernardo Rd
San Diego, CA 92127-5705
Mailing address
855 Health Sciences Drive MC #0987
La Jolla, CA 92093-9000
Phone (858) 657-7539
Other practice location 1
200 W Arbor Dr
MC 8809
San Diego, CA 92103-9000
Phone (619) 543-2165
Other practice location 2
Uc San Diego 3855 Health Sciences Drive #0987
LA Jolla, CA 92093-9000
Phone (858) 657-7539
Other practice location 3
1501 Imperial Ave
San Diego, CA 92101-7638
Phone (619) 233-8500
Other practice location 4
477 N El Camino Real
Encinitas, CA 92024-1328
Phone (760) 479-3900
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4077 5TH Ave
San Diego, CA 92103-2105
Phone (619) 294-8111
Hospital & facility affiliations
- Seaport Hospice
- Takara Hospice LLC
- Bristol Hospice - San Diego
- Vista Community Hospice Inc
- Ardent Hospice
- Scripps Mercy Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A157547 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health Inpatient Providers Medical Group Inc. | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients |
Locations
435 H St
Chula Vista, CA 91910
Phone (619) 691-7000
9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123
3855 Health Sciences Dr
#987
La Jolla, CA 92093
Phone (858) 534-7079
10010 Campus Point Dr
San Diego, CA 92121
Phone (858) 209-9330
200 W Arbor Dr
#8809
San Diego, CA 92103
Phone (619) 233-8500
10790 Rancho Bernardo Rd
San Diego, CA 92127
Phone (858) 554-2626
4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- esophy379697@scrippshlth.medalliesdirect.net
- esophy593238@direct.ochin.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- La Jolla, CA
- NPI 1699043000
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1659359446
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Encinitas, CA
- NPI 1336764521
-
- Community Based Hospice Care Agency
- Carlsbad, CA
- NPI 1851967368
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1659359446
-
- Community Based Hospice Care Agency
- San Diego, CA
- NPI 1659781045
-
- Community Based Hospice Care Agency
- Escondido, CA
- NPI 1497347967
-
- Community Based Hospice Care Agency
- San Diego, CA
- NPI 1679173736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644451200000",
"number": "1013441203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 HEALTH SCIENCES DRIVE MC #0987",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920939000",
"telephone_number": "858-657-7539",
"fax_number": "858-534-8604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10790 RANCHO BERNARDO RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921275705",
"telephone_number": "858-927-5527"
}
],
"practiceLocations": [
{
"address_1": "200 W Arbor Dr",
"address_2": "MC 8809",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921039000",
"country_code": "US",
"telephone_number": "619-543-2165",
"fax_number": "619-543-5966",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Uc San Diego 3855 Health Sciences Drive #0987",
"address_purpose": "LOCATION",
"city": "LA Jolla",
"state": "CA",
"postal_code": "920939000",
"country_code": "US",
"telephone_number": "858-657-7539",
"fax_number": "858-534-8604",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1501 Imperial Ave",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921017638",
"country_code": "US",
"telephone_number": "619-233-8500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "477 N El Camino Real",
"address_purpose": "LOCATION",
"city": "Encinitas",
"state": "CA",
"postal_code": "920241328",
"country_code": "US",
"telephone_number": "760-479-3900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOPHY",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-14",
"last_updated": "2022-02-10",
"certification_date": "2022-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A157547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.