1841277704 NPI number — SCRIPPS HEALTH

Table of content: (NPI 1841277704)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841277704 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:
Provider Other Organization Name Type Code:
6
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:
1841277704
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/27/2022
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
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:
858-927-5328
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9888 GENESEE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LA JOLLA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92037-1200
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-457-4123
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/30/2005

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: 050324 . This is a "BLUE CROSS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 27 . This is a "KAISER" identifier . This identifiers is of the category "OTHER".
  • Identifier: ZZT30324F . This is a "MEDICAL IN PATIENT ADMINI" identifier . This identifiers is of the category "OTHER".
  • Identifier: ZZT40324F . This is a "MEDICAL OUT PATIENT" identifier . This identifiers is of the category "OTHER".
  • Identifier: 050324B000000 . This is a "1011 FUND ADMINISTERED BY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 080000050 . This is a "STATE LICENSE" identifier . This identifiers is of the category "OTHER".
  • Identifier: ZZZA3701Z . This is a "BLUE SHIELD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 164SHIJ . This is a "COUNTY MEDICAL SERVICES" identifier . This identifiers is of the category "OTHER".
  • Identifier: ZZT40324F . This is a "MEDICAL HMO OUT PATIENT" identifier . This identifiers is of the category "OTHER".
  • Identifier: 6151030 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: HSC30324F . This is a "MEDICAL IN PATIENT" identifier . This identifiers is of the category "OTHER".
  • Identifier: SMLA . This is a "UNIVERSAL CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: HSC30324F . This is a "MEDICAL HMO IN PATIENT" identifier . This identifiers is of the category "OTHER".




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