SCRIPPS CLINIC MEDICAL GROUP (NPI# 1710962527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710962527 |
| Entity Type | Organization |
| Organization Name | SCRIPPS CLINIC MEDICAL GROUP |
| Practice Address |
10862 Calle Verde La Mesa CA 91941-7338 |
| Mailing Address |
File# 54433 Los Angeles CA 90074-0001 |
| Practice Telephone | 6196705400 |
| Practice Fax Number | 8587845922 |
| Mailing Telephone | 8587845906 |
| Mailing Fax Number | 8587845922 |
| Enumeration Date | 2005-12-14 |
| 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 | GR0013260 | 05 | |
| CA | BLUE SHIELD OF CALIFORNIA | ZZZ91680Z | 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 |
| 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 |
| 1851376222 | Scripps Clinic Medical Group | Clinic/Center | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2005-12-08 |
| Street Address |
10862 CALLE VERDE |
| City | LA MESA |
| State | CA |
| Zip Code | 91941-7338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598235764 | Christine Ngoc Han | Nurse Practitioner | 10862 Calle Verde, La Mesa, CA 91941-7340 | 2018-11-30 |
| 1669924023 | Joanne Meyer | Physician Assistant | 10862 Calle Verde, La Mesa, CA 91941-7340 | 2016-11-01 |
| 1932564309 | Petra Coronado | Nurse Practitioner | 10862 Calle Verde, La Mesa, CA 91941-7340 | 2015-12-29 |
| 1245624162 | Diep Ngoc Ho | Family Medicine | 10862 Calle Verde, La Mesa, CA 91941-4307 | 2015-03-28 |
| 1538553508 | Fatma V Deif | Internal Medicine | 10862 Calle Verde, La Mesa, CA 91941-7340 | 2015-03-26 |
| 1679827117 | Ami Bali | Physician Assistant | 10862 Calle Verde, La Mesa, CA 91941-7340 | 2012-11-06 |
| 1871897678 | Antonio Christophy | Internal Medicine | 10862 Calle Verde, La Mesa, CA 91941-7340 | 2011-01-07 |
| 1215243092 | Ziad Allos | Family Medicine | 10862 Calle Verde, La Mesa, CA 91941-7340 | 2010-08-31 |
| 1134388218 | Erick Franklin Huang | Internal Medicine | 10862 Calle Verde, La Mesa, CA 91941-7340 | 2008-06-04 |
| 1598854432 | Jeffrey Martin Williams | Physician Assistant | 10862 Calle Verde, La Mesa, CA 91941-7340 | 2006-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659914588 | Aja Encinas | Midwife | 9461 Grossmont Summit Drive Suite A, La Mesa, CA 91941 | 2019-10-23 |
| 1750889861 | Kasey Higgins | Nurse Practitioner | 10862 Calle Verde # S93, La Mesa, CA 91941 | 2018-01-24 |
| 1801325238 | Edward Rabinovich, Dds, Inc. | Dentist | 3855 Avocado Blvd., Ste. 250, La Mesa, CA 91941 | 2017-06-08 |
| 1003204140 | Cierra Lancaster | Case Manager/Care Coordinator | 4287 Palm Ave #32, La Mesa, CA 91941 | 2014-12-23 |
| 1710388533 | Affordable In Home Care | Home Health | 7953 Lemon Circle, La Mesa, CA 91941 | 2014-09-11 |
| 1902206063 | Rachel Llanes | Marriage & Family Therapist | 4849 Schuyler Avenue, La Mesa, CA 91941 | 2014-08-26 |
| 1497185540 | Benjamin J Mandel | Dentist | 3835 Avocado Blvd #220, Lamesa, CA 91941 | 2013-11-26 |
| 1487084901 | Accuquest Hearing Centers | Clinic/Center | 5105 Garfield Street, La Mesa, CA 91941 | 2013-11-19 |
| 1447551353 | John Chuol Kuek | Marriage & Family Therapist | 4060 Fairmount Avenue, San Diego, CA 91941 | 2010-11-09 |
| 1588808463 | Aesthetic Arts Institute of Plastic Surgery, LLC | Clinic/Center | 8415 Grant Avenue, La Mesa, CA 91941 | 2009-04-23 |
| Find all providers in zip 91941 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528057957 | Rokay Kamyar, M.d. Inc. | Clinic/Center | 5119 Garfield St, La Mesa, CA 91941-5103 | 2005-10-18 |
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| Find all providers with the same taxonomy | ||||
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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.