SCRIPPS CLINIC MEDICAL GROUP (NPI# 1134252802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134252802 |
| Entity Type | Organization |
| Organization Name | SCRIPPS CLINIC MEDICAL GROUP |
| Practice Address |
10666 N Torrey Pines Rd La Jolla CA 92037-1027 |
| Mailing Address |
File 54433 Los Angeles CA 90074-0001 |
| Practice Telephone | 8584559100 |
| Practice Fax Number | 8587845933 |
| Mailing Telephone | 8587845767 |
| Mailing Fax Number | 8587845933 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ROBERT SARNOFF (PRESIDENT) |
| Authorized Official Telephone | 8587845767 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 204F00000X | Transplant Surgery | Allopathic & Osteopathic Physicians | ||
| X | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians | ||
| X | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| X | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| X | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| X | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| X | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0092941 | 05 | |
| CA | GR0013260 | 05 | |
| CA | GR0013263 | 05 | |
| CA | GR0092940 | 05 | |
| CA | GR0092942 | 05 | |
| CA | GR001326D | 05 | |
| CA | GR0097070 | 05 | |
| CA | ZZZ74475Z | 05 | |
| CA | ZZZZ81776Z | 05 | |
| CA | GR0013266 | 05 | |
| CA | GR001326V | 05 |
| 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 |
10666 N TORREY PINES RD |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92037-1027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073513610 | James Francis Brown | Podiatrist | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2005-07-26 |
| 1356958250 | Tyrone Bryant | Pharmacist | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2020-09-25 |
| 1356965552 | Priya Reddy | Student in an Organized Health Care Education/Training Program | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2020-06-03 |
| 1114541497 | Vivian Sardone | Student in an Organized Health Care Education/Training Program | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2020-06-03 |
| 1174145387 | Samantha Tu Duong | Pharmacist | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2020-05-11 |
| 1144840646 | Lee Kyung Hong | Student in an Organized Health Care Education/Training Program | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2020-04-24 |
| 1548880503 | Aren Ebrahimi | Student in an Organized Health Care Education/Training Program | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2020-04-20 |
| 1295355303 | Max Akihiro Macmillan | Student in an Organized Health Care Education/Training Program | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2020-04-17 |
| 1336768886 | Jean Min | Student in an Organized Health Care Education/Training Program | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2020-04-15 |
| 1780203232 | Sunit Rajit Shah | Student in an Organized Health Care Education/Training Program | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2020-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982221768 | Equip Health Medical, PC | Clinic/Center | 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 | 2020-06-29 |
| 1134745474 | Brenda Kay Wiederhold | Psychologist | Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 | 2020-06-23 |
| 1316581598 | Kathleen M Blechertas | Physical Therapist | 9888 Genesee, Lj19, La Jolla, CA 92037 | 2019-10-31 |
| 1316592876 | Kevin Yanyan Li | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 | 2019-08-01 |
| 1407400542 | Juan J Salmeron | Dentist | Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 | 2019-07-26 |
| 1609428598 | Nicole Whitney Mark | Physician Assistant | 8103 Caminito Sonoma, La Jolla, CA 92037 | 2019-07-11 |
| 1700357936 | Cecelia Rose Greene/pendzich | Mastectomy Fitter | 7760 Fay Ave, Suite M., La Jolla, CA 92037 | 2018-12-16 |
| 1740765890 | Jeenal Ankit Gordhandas | Student in an Organized Health Care Education/Training Program | East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 | 2018-09-25 |
| 1306325220 | Lisa Beth Perlov Marks | Marriage & Family Therapist | 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 | 2018-08-10 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| Find all providers in zip 92037 | ||||
| Taxonomy Code | 204F00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Transplant Surgery |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053425330 | Angeles Baquerizo | Transplant Surgery | 10666 N Torrey Pines Rd # 200n, La Jolla, CA 92037-1027 | 2006-08-17 |
| 1639141690 | Randolph L. Schaffer IIi | Transplant Surgery | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2006-02-03 |
| 1023098043 | Christopher L. Marsh | Transplant Surgery | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2006-01-17 |
| 1063490670 | Jonathan S. Fisher | Transplant Surgery | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2006-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063829083 | Amit Javed | Transplant Surgery | Ucsf 505 Parnassus Ave M896, Campus Box 0780, San Francisco, CA 94143-0780 | 2014-07-22 |
| 1699039990 | Massimiliano Tuveri | Transplant Surgery | Via Delle Rondini 15, Cagliari, CA 09126 | 2012-07-02 |
| 1457643595 | Neal Martin Mineyev | Transplant Surgery | 2233 Stockton Blvd., Housestaff Building Room 2025, Sacramento, CA 95817 | 2011-05-09 |
| 1790946895 | Ahmad Abou Abbass | Transplant Surgery | 26732 Crown Valley Pkwy Ste 351, Mission Viejo, CA 92691 | 2008-06-20 |
| 1225238538 | Khoa Thomas Anh Pham | Transplant Surgery | 750 Welch Rd Ste 319, Palo Alto, CA 94304-1510 | 2007-07-24 |
| 1356541338 | Raj Mittal | Transplant Surgery | 3400 Lomita Blvd Ste 200, Torrance, CA 90505-4980 | 2007-07-19 |
| 1578760633 | Ayman Al Harakeh | Transplant Surgery | 200 Jose Figueres Ave Ste 225, San Jose, CA 95116 | 2007-06-29 |
| 1063622744 | Ali Cheaito | Transplant Surgery | 11333 N Sepulvelda Blvd, Mission Hills, CA 91345-1116 | 2007-05-23 |
| 1417078882 | Aloke Kumar Mandal | Transplant Surgery | 3110 W Lake Center Dr, Ca152-0243, Santa Ana, CA 92704-6917 | 2007-04-03 |
| 1508909466 | California Pacific Specialty Services | Transplant Surgery | 2302 Fillmore St, Suite A, San Francisco, CA 94115-1813 | 2007-02-14 |
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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.