SCRIPPS CLINIC MEDICAL GROUP (NPI# 1457336273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457336273 |
| Entity Type | Organization |
| Organization Name | SCRIPPS CLINIC MEDICAL GROUP |
| Practice Address |
7565 Mission Valley Rd Suite 200 San Diego CA 92108-4431 |
| Mailing Address |
File# 54433 Los Angeles CA 90074-0001 |
| Practice Telephone | 6192452350 |
| Practice Fax Number | 6192452390 |
| Mailing Telephone | 8587845906 |
| Mailing Fax Number | 8587845922 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2007-12-11 |
| 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 | GR0013263 | 05 | |
| RAILROAD MEDICARE | C40904 | 01 | |
| CA | BLUE SHIELD OF CALIFORNIA | ZZZ21938Z | 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 |
| 1396720082 | Scripps Clinic Medical Group | Clinic/Center | 10820 N Torrey Pines Rd, La Jolla, CA 92037-1036 | 2005-12-14 |
| 1851376222 | Scripps Clinic Medical Group | Clinic/Center | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2005-12-08 |
| Street Address |
7565 MISSION VALLEY RD SUITE 200 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92108-4431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275019150 | Stephanie Scirocco | Nurse Practitioner | 7565 Mission Valley Rd, San Diego, CA 92108 | 2018-07-13 |
| 1447649504 | Maria Miyashiro | Nurse Practitioner | 7565 Mission Valley Rd, San Diego, CA 92108-4431 | 2015-01-13 |
| 1689862351 | Miriam Gulkar | Physician Assistant | 7565 Mission Valley Rd, San Diego, CA 92108-4431 | 2007-10-09 |
| 1972691343 | Matilda Remba | Pediatrics | 7565 Mission Valley Rd, Suite 200, San Diego, CA 92108-4431 | 2006-10-11 |
| 1487749461 | Kristen E. Haring | Internal Medicine | 7565 Mission Valley Rd, Suite 200, San Diego, CA 92108-4431 | 2006-10-04 |
| 1043305113 | Paula A. Eisenhart | Internal Medicine | 7565 Mission Valley Rd, San Diego, CA 92108-4431 | 2006-10-04 |
| 1598850588 | Ute-karin Edney | Nutritionist | 7565 Mission Valley Rd, San Diego, CA 92108-4431 | 2006-10-04 |
| 1346334935 | Eric O. Johnson | Internal Medicine | 7565 Mission Valley Rd, Suite 200, San Diego, CA 92108-4431 | 2006-10-03 |
| 1447344023 | .aleksandr M. Itkin | Dermatology | 7565 Mission Valley Rd, San Diego, CA 92108-4431 | 2006-10-03 |
| 1992899512 | Nina R. Rabin | Internal Medicine | 7565 Mission Valley Rd, Suite 200, San Diego, CA 92108-4431 | 2006-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1457963738 | Diyana Giorgees | Case Manager/Care Coordinator | 5005 Texas Street, St. 203, San Diego, CA 92108 | 2020-08-19 |
| 1780211896 | Lori Mildred Jerman | Marriage & Family Therapist | Healthy Minds Counseling Services, 1455 Frazee Road, Suite 880, San Diego, CA 92108 | 2020-03-26 |
| 1285260737 | Demetrius Anderson | Counselor | Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, CA 92108 | 2020-03-17 |
| 1033742465 | Dasc Medical Inc | Durable Medical Equipment & Medical Supplies | 5520 Gill Village Way, 907, San Diego, CA 92108 | 2020-02-13 |
| 1508401092 | Chanda Denee Kizer | Marriage & Family Therapist | 3517 Camino Del Rio N, Suite 407, San Diego, CA 92108 | 2019-11-08 |
| 1225695562 | Jenna Rose Shurer | Nurse Practitioner | 5030 Camino De La Siesla Ste 106, San Diego, CA 92108 | 2019-05-22 |
| 1952967812 | Martha Kebede Mekonen | Chiropractor | 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 | 2019-05-16 |
| 1053886135 | Andrea Jiselly Munoz | Behavior Technician | 3505 Camino Del Rio South, Suite 200, San Diego, CA 92108 | 2018-10-04 |
| 1386128916 | Sarah Elisabeth Smith | Counselor | 7575 Metropolitan Dr., San Diego, CA 92108 | 2018-09-19 |
| Find all providers in zip 92108 | ||||
| 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 |
| 1851376222 | Scripps Clinic Medical Group | Clinic/Center | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2005-12-08 |
| 1700324795 | Carol Joy Hanselman, Nurse Practitioner, Inc | Clinic/Center | 838 G St, San Diego, CA 92101-6421 | 2017-02-09 |
| 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.