Individual provider Active NPI

Georgine Nanos, M.D.

  • Family Medicine Physician
  • Encinitas, CA
National Provider Identifier
1992767214
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A85136 Issued in CA
Practice address
351 Santa Fe Dr Ste 220
Encinitas, CA 92024-5137
Phone
(760) 701-5463
Fax
(760) 452-9425
NPI assigned
Apr 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychosomatic Medicine Physician 2084P0015X 95026626 CA
Family Medicine Physician 207Q00000X A85136 CA Primary

Addresses

Primary practice location

351 Santa Fe Dr Ste 220
Encinitas, CA 92024-5137

Mailing address

351 Santa Fe Dr Ste 220
Encinitas, CA 92024-5137
Phone (760) 701-5463

Other names 1

  • Georgine N. Jorgensen Former name

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
I20060125000174 CA Practitioner - Family Practice 2860416161 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
George Washington University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

351 Santa Fe Dr
Suite 220
Encinitas, CA 92024-5137
Phone (760) 701-5463

Hospital & facility affiliations

  • Scripps Memorial Hospital - Encinitas Hospital, Encinitas, CA, CCN 050503

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A85136CAMDFamily Medicine Physician
95026626CAMDPsychosomatic Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Kind Health Group Family Medicine CurrentSince May 6, 2024 Accepting new patients
North Coast Family Medical Group CurrentSince Mar 1, 2006 Accepting new patients
Scripps Health Past Accepting new patients

Locations

351 Santa Fe Dr
Ste 220
Encinitas, CA 92024
Phone (760) 634-2411

477 N El Camino Real
Ste A306
Encinitas, CA 92024
Phone (760) 942-0118

Interoperability endpoints

  • Direct secure messaging: gnanos81385@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.

Hospital & facility affiliations 1

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": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1992767214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 SANTA FE DR STE 220",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245137",
            "telephone_number": "760-701-5463",
            "fax_number": "760-452-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 SANTA FE DR STE 220",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245137",
            "telephone_number": "760-701-5463",
            "fax_number": "760-452-9425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANOS",
        "first_name": "GEORGINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "CA",
            "license": "95026626",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A85136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEORGINE",
            "last_name": "JORGENSEN",
            "middle_name": "N.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.