Branden Michael Engorn

MD | Pediatric Critical Care Medicine | Male

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Complete Profile:

Branden Michael Engorn basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Critical Care Medicine
Provider Name :	Branden Michael Engorn
Credential :	MD
Gender :	Male

Business Address:

Branden Michael Engorn address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	3626 Ruffin Rd San Diego, CA, 92123-1810 United States
Phone Number :	858-565-9666
Fax Number :	858-565-9441

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1114160991
NPI Entity Type :	Individual
First Enrolment Date :	09 Apr, 2009
Last Updated On :	28 Jun, 2019

Medicare Participation:

Branden Michael Engorn participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	4789833526
Medicare Enrollment ID :	I20170922001899
Primary Specialty :	Undefined Physician Type (specify)
Medical School :	Other
Graduation Year :	2009
Accepts Medicare?	Yes. Branden Michael Engorn accepts medicare insurance.

Group Practice Association:

Branden Michael Engorn is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Branden Michael Engorn is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Anesthesia Service Medical Group	1153223219	240	3626 Ruffin Rd San Diego, CA - 921231810 Ph: 6195659666	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Branden Michael Engorn are as mentioned. Primary taxonomy code for Branden Michael Engorn, MD is 2080P0203X (Pediatrics Pediatric Critical Care Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
207LP3000X	Anesthesiology Pediatric Anesthesiology	No	A147411	CA
207L00000X	Anesthesiology	No	A147411	CA
208000000X	Pediatrics	No	A147411	CA
2080P0203X	Pediatrics Pediatric Critical Care Medicine	Yes	A147411	CA

Other Practice Locations:

Practice Address	City, State	Phone Number
JOHNS HOPKINS HOSPITAL, 1800 ORLEANS STREET ROOM 6220 BALTIMORE, MD, 21287-3224 United States	BALTIMORE, MD	410-283-3626

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	3626 Ruffin Rd San Diego, CA, 92123-1810 United States
Phone Number :	858-565-9666
Fax Number :	858-565-9441

Business Location:

Patients can refer following map for directions to Branden Michael Engorn practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.