SCRIPPS CLINIC MEDICAL GROUP, INC (NPI# 1205959574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205959574 |
| Entity Type | Organization |
| Organization Name | SCRIPPS CLINIC MEDICAL GROUP, INC |
| Practice Address |
9850 Genesee Ave Suite 600 La Jolla CA 92037-1224 |
| Mailing Address |
File # 54433 Los Angeles CA 90074-4433 |
| Practice Telephone | 8584530753 |
| Practice Fax Number | 8585526885 |
| Mailing Telephone | 8587845888 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2011-08-02 |
| Authorized Official Name | MR. RICHARD ROTHBERGER (CORPORATE EXECUTIVE VP / CFO) |
| Authorized Official Telephone | 8586787288 |
| Is Organization Subpart | Y |
| Parent Organization Name | SCRIPPS HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073853180 | Scripps Clinic Medical Group, Inc | Radiology | 9730 Summers Ridge Rd, Ptc-100, San Diego, CA 92121-3101 | 2013-02-26 |
| 1114179348 | Scripps Clinic Medical Group, Inc | Clinic/Center | 9191 Towne Centre Dr, Suite 105, San Diego, CA 92122-1225 | 2008-10-21 |
| 1538297726 | Scripps Clinic Medical Group, Inc | Allergy & Immunology | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2007-03-01 |
| Street Address |
9850 GENESEE AVE SUITE 600 |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92037-1224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598760589 | Frank Edward Mayer | Internal Medicine | 9850 Genesee Ave, Ste 930, La Jolla, CA 92037-1229 | 2005-06-16 |
| 1649717737 | La Jolla Anesthesia Associates Lp | Nurse Anesthetist, Certified Registered | 9850 Genesee Ave, Suite 980, La Jolla, CA 92037-1224 | 2017-01-26 |
| 1083151674 | Stephanie Klein | Physician Assistant | 9850 Genesee Ave, Ste 320, La Jolla, CA 92037-1208 | 2017-01-20 |
| 1346785250 | Lee Marie Atwood | Nurse Practitioner | 9850 Genesee Ave, Suite 400, La Jolla, CA 92037-1224 | 2017-01-01 |
| 1447795661 | Kirsten Goshen | Nurse Practitioner | 9850 Genesee Ave, Suite 570, La Jolla, CA 92037-1224 | 2016-12-24 |
| 1194279901 | Ellen Ashman | Nurse Practitioner | 9850 Genesee Ave, La Jolla, CA 92037-1224 | 2016-08-09 |
| 1164875175 | Miranda Mulholland | Nurse Practitioner | 9850 Genesee Ave, Suite 560, La Jolla, CA 92037-1224 | 2016-07-14 |
| 1578938023 | Schoemann Medical Corporation | Surgery | 9850 Genesee Ave, Suite 500, La Jolla, CA 92037-1224 | 2015-12-09 |
| 1679946040 | Lauren E Campagna | Physician Assistant | 9850 Genesee Ave, Suite 320, La Jolla, CA 92037-1224 | 2015-11-07 |
| 1750751269 | Charles Mears | Specialist/Technologist, Other | 9850 Genesee Ave, Suite210, La Jolla, CA 92037-1224 | 2015-09-28 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316325780 | Andrw Erwin Senyei | Obstetrics & Gynecology | 1547 El Camino Del Teatro, La Jolla, CA 92037-6301 | 2015-05-18 |
| 1831454024 | Robert Louis Salerno | Obstetrics & Gynecology | 1251 W Muirlands Dr, 1251 W. Muirlands Dr, La Jolla, CA 92037-5506 | 2012-07-12 |
| 1235408717 | Robert Noel Fiorentino | Obstetrics & Gynecology | 5544 Via Callado, La Jolla, CA 92037-7835 | 2011-12-29 |
| 1326376989 | Nathan Joshua Harrison | Obstetrics & Gynecology | 1035 Havenhurst Dr, La Jolla, CA 92037-6804 | 2009-11-19 |
| 1912166737 | Arij Faksh | Obstetrics & Gynecology | 9333 Genesee Avenue, Suite 170, La Jolla, CA 92121 | 2008-06-06 |
| 1730386335 | Chrysten E. Cunningham, Do Inc | Obstetrics & Gynecology | 2386 Ave De La Playa, La Jolla, CA 92037-3201 | 2007-06-28 |
| 1730242942 | Elizabeth G Silverman | Obstetrics & Gynecology | 9850 Genesee Ave #600, La Jolla, CA 92037 | 2006-12-18 |
| 1396818134 | Cheryl C Saenz | Obstetrics & Gynecology | 3855 Health Sciences Drive # 0987, La Jolla, CA 92093-0987 | 2006-11-17 |
| 1134193105 | Mel M. Kurtulus | Obstetrics & Gynecology | 9850 Genesee Ave Ste 640, La Jolla, CA 92037-1217 | 2006-02-15 |
| 1912908369 | Darush Lawrence Mohyi | Obstetrics & Gynecology | 7724 Fay Ave, La Jolla, CA 92037-4309 | 2005-08-09 |
| Find all providers in LA JOLLA | ||||
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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.