SCRIPPS CLINIC MEDICAL GROUP (NPI# 1124003280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124003280 |
| Entity Type | Organization |
| Organization Name | SCRIPPS CLINIC MEDICAL GROUP |
| Practice Address |
3811 Valley Centre Dr San Diego CA 92130-3318 |
| Mailing Address |
File # 54433 Los Angeles CA 90074-0001 |
| Practice Telephone | 8587643000 |
| Practice Fax Number | 8587845922 |
| Mailing Telephone | 8587845906 |
| Mailing Fax Number | 8587845922 |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ROBERT B. SARNOFF (PRESIDENT) |
| Authorized Official Telephone | 8585548862 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0097070 | 05 | |
| CA | BLUE SHIELD OF CALIFORNIA | ZZZ21942Z | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023263928 | Scripps Clinic Medical Group | Internal Medicine | File 54433, Los Angeles, CA 90074-0001 | 2008-11-20 |
| 1871579722 | Scripps Clinic Medical Group | Clinic/Center | 4033 3rd Ave, Suite 210, San Diego, CA 92103-2117 | 2005-12-21 |
| 1457337313 | Scripps Clinic Medical Group | Clinic/Center | 12395 El Camino Real, Suite 120, San Diego, CA 92130-3082 | 2005-12-21 |
| 1598741936 | Scripps Clinic Medical Group | Clinic/Center | 9844 Genesee Ave, Suite 100 & 400, La Jolla, CA 92037-1222 | 2005-12-19 |
| 1578548269 | Scripps Clinic Medical Group | Clinic/Center | 1317 Ynez Pl, Coronado, CA 92118-3909 | 2005-12-14 |
| 1780669473 | Scripps Clinic Medical Group | Clinic/Center | 9894 Genesee Ave, La Jolla, CA 92037-1205 | 2005-12-14 |
| 1710962527 | Scripps Clinic Medical Group | Clinic/Center | 10862 Calle Verde, La Mesa, CA 91941-7338 | 2005-12-14 |
| 1942285754 | Scripps Clinic Medical Group | Clinic/Center | 278 Town Center Pkwy, Santee, CA 92071-5800 | 2005-12-14 |
| 1457336273 | Scripps Clinic Medical Group | Clinic/Center | 7565 Mission Valley Rd, Suite 200, San Diego, CA 92108-4431 | 2005-12-14 |
| 1396720082 | Scripps Clinic Medical Group | Clinic/Center | 10820 N Torrey Pines Rd, La Jolla, CA 92037-1036 | 2005-12-14 |
| Street Address |
3811 VALLEY CENTRE DR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92130-3318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851390025 | Karen L Wilson | Pediatrics | 3811 Valley Centre Dr, San Diego, CA 92130 | 2005-07-19 |
| 1154969905 | Allegra Conway | Nurse Practitioner | 3811 Valley Centre Dr, San Diego, CA 92130-3318 | 2019-12-11 |
| 1174168553 | Melissa Alice Mang | Nurse Practitioner | 3811 Valley Centre Dr, San Diego, CA 92130-3318 | 2019-11-09 |
| 1821576158 | Kaitlyn Morrissey | Nurse Practitioner | 3811 Valley Centre Dr, San Diego, CA 92130-3318 | 2018-07-30 |
| 1487162053 | Danielle Boward | Dietitian, Registered | 3811 Valley Centre Dr, San Diego, CA 92130-3318 | 2018-01-17 |
| 1053837187 | Alison Cusmano | Nurse Practitioner | 3811 Valley Centre Dr, San Diego, CA 92130-3318 | 2017-08-21 |
| 1528508363 | Elizabeth Hawk | Nurse Practitioner | 3811 Valley Centre Dr, San Diego, CA 92130-3318 | 2017-02-27 |
| 1790227452 | Shawna Mellon | Nurse Practitioner | 3811 Valley Centre Dr, San Diego, CA 92130-3318 | 2016-11-12 |
| 1336523331 | Allison Geissert | Nurse Practitioner | 3811 Valley Centre Dr, San Diego, CA 92130-3318 | 2015-07-20 |
| 1073992723 | Jhanina Dioso | Pediatrics | 3811 Valley Centre Dr, San Diego, CA 92130 | 2015-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629692397 | Tlc Family Therapy | Marriage & Family Therapist | 5965 Village Way. Suite 105 #112, San Diego, CA 92130 | 2020-05-29 |
| 1447746169 | Jack Perlov | Psychiatry & Neurology | 3535 Caminito El Rincon, Unit 268, San Diego, CA 92130 | 2018-07-05 |
| 1326551003 | Theotokos, LLC | Pharmacy | 5550 Carmel Mountain Rd Ste 111, San Diego, CA 92130 | 2017-11-16 |
| 1154879146 | Halie Hommes | Occupational Therapist | 12250 El Camino Real Ste 250, San Diego, CA 92130 | 2016-09-19 |
| 1790232015 | Coastal Skin and Eye Institute, Inc. | Ophthalmology | 5550 Carmel Mountain Road, Suite 206, San Diego, CA 92130 | 2016-09-02 |
| 1720534951 | Nosti and Rygg Dental Corporation | Dentist | 5550 Carmel Mountain Road, Ste 200, San Diego, CA 92130 | 2016-08-28 |
| 1831644053 | Marco Savittieri | Dentist | 3715 Ruette De Vl, San Diego, CA 92130 | 2016-08-17 |
| 1336508621 | Discovery Practice Management, Inc | Psychiatric Residential Treatment Facility | 11455 Camino Real, Ste 360, San Diego, CA 92130 | 2016-02-16 |
| 1427434679 | Coast Pediatrics Carmel Valley | Pediatrics | 5965 Village Drive, Suite 201, San Diego, CA 92130 | 2015-08-10 |
| 1659753762 | T Sidal Dds Md Inc | Dentist | 12395 El Camino Real, Suite 304, Torrey Pines Oral & Maxillofacial Surgery, San Diego, CA 92130 | 2015-06-25 |
| Find all providers in zip 92130 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871062927 | Uc San Diego Health - Monica Perlman Clinic | Clinic/Center | 3900 5th Ave Ste 300, San Diego, CA 92103-3138 | 2018-11-19 |
| 1083112247 | Legacy Medical Group, Inc. | Clinic/Center | 292 Euclid Ave Ste 210, San Diego, CA 92114-3629 | 2018-01-23 |
| 1063859460 | Coast To Coast Therapy Inc. | Clinic/Center | 3980 9th Ave # 1, San Diego, CA 92103-3244 | 2013-05-28 |
| 1134383573 | Pacific Colllege of Oriental Medicine, Inc | Clinic/Center | 7445 Mission Valley Rd, Suite 105, San Diego, CA 92108-4408 | 2008-07-15 |
| 1871794883 | Sands-smith | Clinic/Center | 995 Gateway Center Way Ste 108, San Diego, CA 92102-4544 | 2007-05-29 |
| 1871579722 | Scripps Clinic Medical Group | Clinic/Center | 4033 3rd Ave, Suite 210, San Diego, CA 92103-2117 | 2005-12-21 |
| 1497731350 | Scripps Health | Clinic/Center | 5405 Morehouse Dr, Suite 100, San Diego, CA 92121-4722 | 2005-12-21 |
| 1457337313 | Scripps Clinic Medical Group | Clinic/Center | 12395 El Camino Real, Suite 120, San Diego, CA 92130-3082 | 2005-12-21 |
| 1457336273 | Scripps Clinic Medical Group | Clinic/Center | 7565 Mission Valley Rd, Suite 200, San Diego, CA 92108-4431 | 2005-12-14 |
| 1851376222 | Scripps Clinic Medical Group | Clinic/Center | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2005-12-08 |
| Find all providers in SAN DIEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.