SCRIPPS HEALTH (NPI# 1306161914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306161914 |
| Entity Type | Organization |
| Organization Name | SCRIPPS HEALTH |
| Other Organization Name | SCRIPPS MERCY HOSPITAL |
| Practice Address |
4077 5th Ave San Diego CA 92103-2105 |
| Mailing Address |
10150 Sorrento Valley Rd Ste 101 San Diego CA 92121-1635 |
| Practice Telephone | 6192607101 |
| Mailing Telephone | 8586574218 |
| Mailing Fax Number | 8586574243 |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2010-04-07 |
| Authorized Official Name | RICHARD ROTHBERGER (EUP CFO) |
| Authorized Official Telephone | 8586786828 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL INPATIENT ADMINIS | ZZT30077G | 01 |
| CA | BLUE CROSS | 050077 | 01 |
| CA | MEDICARE | 050077 | 01 |
| CA | MEDI CAL HMO IN PATIENT | HSC30077G | 01 |
| CA | KAISER | ME | 01 |
| CA | MEDI CAL HMO OUT PATIENT | ZZT40077G | 01 |
| CA | MEDICAL INPATIENT | HSC30077G | 01 |
| CA | COUNTY MEDICAL SERVICES | 121MER | 01 |
| CA | AETNA | 6152170 | 01 |
| CA | 1011 FUND ANDMINISTERED | 050077B000000 | 01 |
| CA | MEDI CAL OUT PATIENT | ZZT40077G | 01 |
| CA | BLUE SHIELD | ZZZA3708Z | 01 |
| Other Name | Type Code |
|---|---|
| SCRIPPS MERCY HOSPITAL | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611920 | Scripps Health | Pharmacy | 550 Washington St Ste 110, San Diego, CA 92103-2213 | 2020-08-28 |
| 1417580028 | Scripps Health | Clinic/Center | 2205 Vista Way, Oceanside, CA 92054-5661 | 2020-02-21 |
| 1689907909 | Scripps Health | Nutritionist | 11025 N Torrey Pines Rd, Ste 200, La Jolla, CA 92037-1030 | 2009-09-18 |
| 1619108503 | Scripps Health | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9898 Genesee Ave Fl 3, La Jolla, CA 92037-1205 | 2009-07-27 |
| 1720279805 | Scripps Health | Clinical Medical Laboratory | 9535 Waples St, Suite 150, San Diego, CA 92121-2953 | 2007-08-05 |
| 1497731350 | Scripps Health | Clinic/Center | 5405 Morehouse Dr, Suite 100, San Diego, CA 92121-4722 | 2005-12-21 |
| 1245216928 | Scripps Health | Clinic/Center | 3811 Valley Centre Dr., San Diego, CA 92130-3318 | 2005-12-15 |
| 1861477846 | Scripps Health | Emergency Medicine | 130 Cedar Rd, Vista, CA 92083-5102 | 2005-12-13 |
| 1902881063 | Scripps Health | Clinic/Center | 310 Santa Fe Dr, Encinitas, CA 92024-5110 | 2005-12-13 |
| 1578556114 | Scripps Health | Home Health | 9619 Chesapeake Drive, Ste 300, San Diego, CA 92123 | 2005-08-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SCRIPPS HEALTH | 4180 La Jolla Village Dr # 550b, La Jolla, CA 92037-1402 |
| Street Address |
4077 5TH AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-2105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932100062 | Julian George Lis | Emergency Medicine | 4077 5th Ave, San Diego, CA 92103-2105 | 2005-08-10 |
| 1154921195 | Michelle Miller | Social Worker | 4077 5th Ave, San Diego, CA 92103-2105 | 2020-10-29 |
| 1356972798 | Andrew Nasseri Md Inc. | Surgery | 4077 5th Ave, San Diego, CA 92103-2105 | 2020-02-03 |
| 1134769573 | Emi Harris | Nurse Practitioner | 4077 5th Ave, San Diego, CA 92103-2105 | 2020-01-14 |
| 1669012217 | Justin Jerluen Lin | Pharmacist | 4077 5th Ave, Mer 52, San Diego, CA 92103 | 2020-01-12 |
| 1972070662 | Blair Shealy | Internal Medicine | 4077 5th Ave, San Diego, CA 92103-2105 | 2018-10-31 |
| 1487143749 | Jovian W Lam | Internal Medicine | 4077 5th Ave, San Diego, CA 92103 | 2018-05-02 |
| 1316452303 | Meghan Murphy | Social Worker | 4077 5th Ave, San Diego, CA 92103-2105 | 2017-12-12 |
| 1508390394 | Kristina Strong | Nurse Practitioner | 4077 5th Ave, San Diego, CA 92103-2105 | 2017-04-18 |
| 1124578117 | Jennifer Agueda | Nurse Practitioner | 4077 5th Ave, San Diego, CA 92103-2105 | 2016-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184175374 | Kelly Lynn Memeo | General Acute Care Hospital | 8745 Aero Dr Ste 200, San Diego, CA 92123-1774 | 2016-10-22 |
| 1316392350 | Victor C. Coelho, Md, Inc. | General Acute Care Hospital | 2680 Bellezza Dr, San Diego, CA 92108-4763 | 2016-04-27 |
| 1144680695 | Reid Sasaki Md Inc | General Acute Care Hospital | 5663 Balboa Ave Unit 463, San Diego, CA 92111-2705 | 2016-02-25 |
| 1487028734 | Jfk Memorial Hospital | General Acute Care Hospital | 7717 Dancy Rd, San Diego, CA 92126-3040 | 2015-11-25 |
| 1124369632 | Brandon D Miller | General Acute Care Hospital | 2007 Pelican Hill Rd, San Diego, CA 92139-1152 | 2013-03-07 |
| 1992019020 | Catherine Ubaldo | General Acute Care Hospital | 2089 Chatsworth Blvd Apt 15, San Diego, CA 92107-2736 | 2010-07-30 |
| 1104143643 | Vision Medical Logistics | General Acute Care Hospital | 5555 Magnatron Blvd Ste I, San Diego, CA 92111-1308 | 2010-04-23 |
| 1891017729 | Uc San Diego Department of Anesthesiology | General Acute Care Hospital | 200 W Arbor Drive, #0801, Ucsd Dept of Anesthesiology, San Diego, CA 92103 | 2010-02-19 |
| 1275764292 | Ucsd Surgery | General Acute Care Hospital | 1240 India St Unit 914, San Diego, CA 92101-8551 | 2009-08-07 |
| 1982859138 | Cris Louise Rash | General Acute Care Hospital | 8811 Geraldine Ave, San Diego, CA 92123-2912 | 2008-12-01 |
| 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.