Active NPI
Gregory James Loren, M.D.
- Sports Medicine (Orthopaedic Surgery) Physician
- Encinitas, CA
National Provider Identifier
1578655106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- G75140
- Practice address
- 332 Santa Fe Dr
Suite 110
Encinitas, CA 92024-5143 - Phone
- (760) 943-6700
- Fax
- (760) 632-4292
- NPI assigned
- Sep 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | G75140 | CA | Primary |
Addresses
Primary practice location
332 Santa Fe Dr
Suite 110
Encinitas, CA 92024-5143
Mailing address
332 Santa Fe Dr
Suite 110
Encinitas, CA 92024-5143
Phone (760) 943-6700
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03-0431018 | Other | CA | TRICARE |
| GR0093170 | Medicaid | CA | |
| ZZZ049182 | Other | CA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Mar 18, 2024 through Mar 18, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G75140 | CA | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients | |
| Scripps Health | Past | Accepting new patients | |
| Scripps Health | Past | Accepting new patients |
Interoperability endpoints
- gloren43291@scrippshlth.medalliesdirect.net
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.
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Clinical Medical Laboratory
- La Jolla, CA
- NPI 1427034990
-
- General Acute Care Hospital
- La Jolla, CA
- NPI 1841277704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358726400000",
"number": "1578655106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "332 SANTA FE DR",
"address_2": "SUITE 110",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920245143",
"telephone_number": "760-943-6700",
"fax_number": "760-632-4292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "332 SANTA FE DR",
"address_2": "SUITE 110",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920245143",
"telephone_number": "760-943-6700",
"fax_number": "760-632-4292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOREN",
"first_name": "GREGORY",
"middle_name": "JAMES",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2013-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "CA",
"license": "G75140",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "03-0431018",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0093170",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ049182",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Encinitas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2013; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.