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SCRIPPS CLINIC MEDICAL GROUP NPI 1134252802


NPI Information

NPI: 1134252802
Provider Name: SCRIPPS CLINIC MEDICAL GROUP
Classification: Transplant Surgery - 204F00000X
Entity Type: Organization
Address:
10666 N TORREY PINES RD
LA JOLLA, CA
ZIP 92037
Phone: (858) 455-9100
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SCRIPPS CLINIC MEDICAL GROUP is a transplant surgery in La Jolla, CA. The provider is a surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee SCRIPPS CLINIC MEDICAL GROUP NPI is 1134252802. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10666 N TORREY PINES RD
LA JOLLA, CA
ZIP 92037-027
Phone: (858) 455-9100
Fax: (858) 784-5933

The provider's authorized official is Robert Sarnoff .
The authorized official title is President and has the following contact phone number (858) 784-5767.

The enumeration date for this NPI number is 3/13/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204F00000XTransplant SurgeryYes
2207K00000XAllergy & ImmunologyX
3207P00000XEmergency MedicineX
4207Q00000XFamily MedicineX
5207R00000XInternal MedicineX
6363A00000XPhysician AssistantX
7363L00000XNurse PractitionerX

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0092941MEDICAIDCALIFORNIA
2GR0013260MEDICAIDCALIFORNIA
3GR0013263MEDICAIDCALIFORNIA
4GR0092940MEDICAIDCALIFORNIA
5GR0092942MEDICAIDCALIFORNIA
6GR001326DMEDICAIDCALIFORNIA
7GR0097070MEDICAIDCALIFORNIA
8ZZZ74475ZMEDICAIDCALIFORNIA
9ZZZZ81776ZMEDICAIDCALIFORNIA
10GR0013266MEDICAIDCALIFORNIA
11GR001326VMEDICAIDCALIFORNIA

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

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