SCRIPPS CLINIC MEDICAL GROUP (NPI# 1851376222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851376222 |
| Entity Type | Organization |
| Organization Name | SCRIPPS CLINIC MEDICAL GROUP |
| Practice Address |
15004 Innovation Dr San Diego CA 92128-3491 |
| Mailing Address |
File # 54433 Los Angeles CA 90074-0001 |
| Practice Telephone | 8584871800 |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2009-06-24 |
| 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 | ZZZ81776Z | 05 | |
| RAILROAD MEDICARE | C40904 | 01 | |
| CA | BLUE SHIELD OF CALIFORNIA | ZZZ81776Z | 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 |
| 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 |
15004 INNOVATION DR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92128-3491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023642097 | Amy Joelle Chamberlain | Physical Therapist | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2020-02-27 |
| 1790318715 | Cameron Devany | Speech-Language Pathologist | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2020-02-18 |
| 1851924252 | Janelle Marie Wilson | Physical Therapy Assistant | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2020-02-14 |
| 1285267617 | Mitchell Russo | Physical Therapist | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2020-02-13 |
| 1427681873 | Lucy Santillan | Physical Therapist | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2020-02-13 |
| 1740813112 | Monique Munro Werner | Physical Therapist | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2020-02-13 |
| 1003449422 | Margaret Ann Fuller | Occupational Therapist | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2020-02-13 |
| 1023641586 | Katie Jo Rodgers | Speech-Language Pathologist | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2020-02-12 |
| 1649802166 | Irina Keefer | Physical Therapist | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2020-02-12 |
| 1912539537 | Kelly Hullihan | Speech-Language Pathologist | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2020-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585371 | Alicia Ford | Behavior Technician | 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 | 2020-07-08 |
| 1164087573 | Madeleine White | Dietitian, Registered | 16685 W Bernardo Dr, Suite 121, San Diego, CA 92128 | 2019-05-01 |
| 1053807677 | Joele Ghosn | Speech-Language Pathologist | 11838 Bernardo Plaza Ct #110, San Diego, CA 92128 | 2018-07-06 |
| 1376034348 | Eddie Reginald Burston II | In Home Supportive Care | 12727 Camino Emparrado, San Diego, CA 92128 | 2018-05-24 |
| 1336659218 | Ryan Fong | Physician Assistant | 15004 Innovation Drive (s97), San Diego, CA 92128 | 2017-10-05 |
| 1508316191 | Araceli Flores | Behavioral Analyst | 15737 Innovation Dr, Suite 200, San Diego, CA 92128 | 2016-10-07 |
| 1003283961 | Katherine Dishner | Hearing Instrument Specialist | 16766 Bernardo Center Dr Ste 206, San Diego, CA 92128 | 2015-08-27 |
| 1205212586 | Mobilia Dmd Inc. | Point of Service | 12405 Rancho Bernardo Rd., San Diego, CA 92128 | 2015-08-10 |
| 1346623634 | Angela Christine Storck-petersen | Dietitian, Registered | 11768 Caminito Corriente, San Diego, CA 92128 | 2015-07-04 |
| 1134526874 | Breeana Rose Lancaster | Speech-Language Pathologist | 11838 Bernardo Plaza Ct. Suite 110, Kids Therapy Associates, San Diego, CA 92128 | 2014-11-24 |
| Find all providers in zip 92128 | ||||
| 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 |
| 1457336273 | Scripps Clinic Medical Group | Clinic/Center | 7565 Mission Valley Rd, Suite 200, San Diego, CA 92108-4431 | 2005-12-14 |
| 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.