Active NPI
Patrick Engelbert, M.D.
- Emergency Medicine Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 0101260801
- Practice address
- 34800 Bob Wilson Drive
Naval Medical Ctr
San Diego, CA 92134 - Phone
- (619) 532-8547
- NPI assigned
- Jul 1, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | |||
| Emergency Medicine Physician | 207P00000X | D90847 | MD | |
| Emergency Medicine Physician | 207P00000X | 0101260801 | VA | Primary |
Addresses
Primary practice location
34800 Bob Wilson Drive
Naval Medical Ctr
San Diego, CA 92134
Mailing address
34800 Bob Wilson Drive
Naval Medical Ctr
San Diego, CA 92134
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D90847 | MD | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Alexandria Springfield Emergency Physicians PC | Emergency Medicine | Current | Accepting new patients |
| Alexandria Springfield Emergency Physicians PC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120
12420 Milestone Center Dr
Ste 200
Germantown, MD 20876
Phone (336) 509-7515
4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
6355 Walker Ln
Franconia, VA 22310
Phone (703) 664-7453
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Franklin, VA
- NPI 1740529700
DC
-
- Emergency Medicine Physician
- Baltimore, MD
- NPI 1821434002
-
- Emergency Medicine Physician
- Alexandria, VA
- NPI 1720839764
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
- Multi-Specialty Clinic/Center
- Fairfax, VA
- NPI 1669511051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612828800000",
"number": "1821471467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34800 BOB WILSON DRIVE",
"address_2": "NAVAL MEDICAL CTR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34800 BOB WILSON DRIVE",
"address_2": "NAVAL MEDICAL CTR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92134",
"telephone_number": "619-532-8547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGELBERT",
"first_name": "PATRICK",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-01",
"last_updated": "2021-02-09",
"certification_date": "2021-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MD",
"license": "D90847",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101260801",
"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 9, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.