1659359446 NPI number — SCRIPPS HEALTH

Table of content: (NPI 1659359446)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659359446 NPI number — SCRIPPS HEALTH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SCRIPPS HEALTH
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
SCRIPPS MERCY HOSPITAL
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1659359446
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10790 RANCHO BERNARDO RD # 4S-303
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN DIEGO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92127-5705
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
619-260-7101
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4077 5TH AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92103-2180
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-260-7101
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/03/2006

Additional Information

Authorized Official

Authorized Official Last Name:
TANDE
Authorized Official First Name:
BRETT
Authorized Official Middle Name:
Authorized Official Title or Position:
EVP/CFO
Authorized Official Telephone Number:
858-678-7227

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: ZZT40077G . This is a "MEDI CAL HMO OUT PATIENT" identifier . This identifiers is of the category "OTHER".
  • Identifier: ZZZA3708Z . This is a "BLUE SHIELD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 121MER . This is a "COUNTY MEDICAL SERVICES" identifier . This identifiers is of the category "OTHER".
  • Identifier: 6152170 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: HSC30077G . This is a "MEDI CAL HMO IN PATIENT" identifier . This identifiers is of the category "OTHER".
  • Identifier: 050077B000000 . This is a "1011 FUND ANDMINISTERED" identifier . This identifiers is of the category "OTHER".
  • Identifier: HSC30077G . This is a "MEDICAL INPATIENT" identifier . This identifiers is of the category "OTHER".
  • Identifier: 050077 . This is a "BLUE CROSS" identifier . This identifiers is of the category "OTHER".
  • Identifier: ME . This is a "KAISER" identifier . This identifiers is of the category "OTHER".
  • Identifier: ZZT30077G . This is a "MEDICAL INPATIENT ADMINIS" identifier . This identifiers is of the category "OTHER".
  • Identifier: ZZT40077G . This is a "MEDI CAL OUT PATIENT" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com