SCRIPPS CLINIC MEDICAL GROUP (NPI# 1871579722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871579722 |
| Entity Type | Organization |
| Organization Name | SCRIPPS CLINIC MEDICAL GROUP |
| Practice Address |
4033 3rd Ave Suite 210 San Diego CA 92103-2117 |
| Mailing Address |
File#54433 Los Angeles CA 90074-0001 |
| Practice Telephone | 8587645600 |
| Practice Fax Number | 8587845922 |
| Mailing Telephone | 8587845906 |
| Mailing Fax Number | 8587845922 |
| Enumeration Date | 2005-12-21 |
| 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 |
CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD OF CALIFORNIA | ZZZ08819Z | 01 |
| CA | GR0092941 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023263928 | Scripps Clinic Medical Group | Internal Medicine | File 54433, Los Angeles, CA 90074-0001 | 2008-11-20 |
| 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 |
| 1851376222 | Scripps Clinic Medical Group | Clinic/Center | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2005-12-08 |
| Street Address |
4033 3RD AVE SUITE 210 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-2117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811340227 | Sudhir Malik, A Professional Medical Corporation | Psychiatry & Neurology | 4033 3rd Ave, Suite 206, San Diego, CA 92103-2117 | 2016-07-20 |
| 1578972782 | Hillcrest Hearing Center | Hearing Aid Equipment | 4033 3rd Ave, Ste 104, San Diego, CA 92103-2117 | 2014-08-13 |
| 1659673994 | Gilda Tafreshi, Md, Inc. | Psychiatry & Neurology | 4033 3rd Ave, Suite 206, San Diego, CA 92103-2117 | 2010-11-18 |
| 1912217522 | Paul M Goodman Md A Medical Corporation | Otolaryngology | 4033 3rd Ave, Suite 104, San Diego, CA 92103-2117 | 2010-10-15 |
| 1700100369 | Pierre G Rivet Md A Medical Corporation | Otolaryngology | 4033 3rd Ave, Suite 104, San Diego, CA 92103-2117 | 2010-03-25 |
| 1326370677 | Pacific Coast Surgical Group | Surgery | 4033 3rd Ave, Suite204, San Diego, CA 92103-2117 | 2010-02-10 |
| 1972757045 | Hillcrest Hearing Center Inc | Audiologist | 4033 3rd Ave, Suite 104, San Diego, CA 92103-2117 | 2008-11-16 |
| 1447443809 | Paul Alvord | Transplant Surgery | 4033 3rd Ave, Suite 204, San Diego, CA 92103-2117 | 2007-08-20 |
| 1366657603 | Cynthia Crist | Nurse Practitioner | 4033 3rd Ave, Suite 300, San Diego, CA 92103-2117 | 2007-05-11 |
| 1346388097 | Evan M Vapnek Md & James L Roberts Md, A Medical Group | Urology | 4033 3rd Ave, Suite 400, San Diego, CA 92103-2117 | 2007-02-02 |
| 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 | 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 |
| 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 |
| 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.