Individual provider Active NPI

Elizabeth Sophy

  • Family Medicine Physician
  • San Diego, CA
National Provider Identifier
1013441203
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A157547 Issued in CA
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

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210707002846 CA Practitioner - Family PracticePractitioner - Hospice/Palliative Care 0345642724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospice/Palliative Care
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Scripps Health Inpatient Providers Medical Group IncGroup PAC ID 9436314762, 209 clinicians

Practice addresses (Care Compare)

4077 5TH Ave
San Diego, CA 92103-2105
Phone (619) 294-8111

Hospital & facility affiliations

  • Seaport Hospice Hospice, San Diego, CA, CCN 551745
  • Takara Hospice LLC Hospice, Escondido, CA, CCN B41568
  • Bristol Hospice - San Diego Hospice, San Diego, CA, CCN 751734
  • Vista Community Hospice Inc Hospice, San Diego, CA, CCN B31638
  • Ardent Hospice Hospice, Carlsbad, CA, CCN 551767
  • Scripps Mercy Hospital Hospital, San Diego, CA, CCN 050077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A157547CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Inpatient Providers Medical Group Inc. CurrentSince Sep 15, 2021 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

  • Direct secure messaging: esophy379697@scrippshlth.medalliesdirect.net
  • Direct secure messaging: 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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.