Active NPI
Ann M. Engfelt, M.D.
- Pediatrics Physician
- San Diego, CA
National Provider Identifier
1790748481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G77826
- Practice address
- 3811 Valley Centre Dr
San Diego, CA 92130-3318 - Phone
- (858) 764-3040
- NPI assigned
- Apr 11, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G77826 | CA | Primary |
Addresses
Primary practice location
3811 Valley Centre Dr
San Diego, CA 92130-3318
Mailing address
File # 54433
Los Angeles, CA 90074-0001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G778260 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G77826 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients | |
| Scripps Clinic Medical Group, Inc | Past | Accepting new patients | |
| Scripps Health | Past | Accepting new patients | |
| Scripps Clinic Medical Group | Past | Accepting new patients |
Interoperability endpoints
- aengfelt8337@scrippshlth.medalliesdirect.net
Organizations & group practices 4
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
-
- Multi-Specialty Clinic/Center
- San Diego, CA
- NPI 1124003280
-
- Radiation Oncology Physician
- San Diego, CA
- NPI 1073853180
-
- 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": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245888000000",
"number": "1790748481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FILE # 54433",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900740001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3811 VALLEY CENTRE DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921303318",
"telephone_number": "858-764-3040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGFELT",
"first_name": "ANN",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-11",
"last_updated": "2009-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G77826",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G778260",
"state": "CA"
}
],
"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 Jun 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.