SCRIPPS CLINIC MEDICAL GROUP NPI 1124003280

NPI Information

NPI: 1124003280
Provider Name: SCRIPPS CLINIC MEDICAL GROUP
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 05D0857907

Address:
3811 VALLEY CENTRE DR
SAN DIEGO, CA
ZIP 92130
Phone: (858) 764-3000
Get Directions

SCRIPPS CLINIC MEDICAL GROUP is a multi-specialty clinic center in San Diego, CA. SCRIPPS CLINIC MEDICAL GROUP NPI is 1124003280. The provider is registered as an organization entity type.

The provider's business location address is:

3811 VALLEY CENTRE DR
SAN DIEGO, CA
ZIP 92130-318
Phone: (858) 764-3000
Fax: (858) 784-5922

The provider's authorized official is Robert B. Sarnoff .
The authorized official title is President and has the following contact phone number (858) 554-8862.

The CLIA number assigned to this NPI record is 05D0857907 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/13/2005 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	GR0097070	MEDICAID	CALIFORNIA
2	ZZZ21942Z	OTHER	CALIFORNIA	BLUE SHIELD OF CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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