SCRIPPS CLINIC MEDICAL GROUP NPI 1457336273

NPI Information

NPI: 1457336273
Provider Name: SCRIPPS CLINIC MEDICAL GROUP
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 05D1065419

Address:
7565 MISSION VALLEY RD
SUITE 200
SAN DIEGO, CA
ZIP 92108
Phone: (619) 245-2350
Get Directions

SCRIPPS CLINIC MEDICAL GROUP is a multi-specialty clinic center in San Diego, CA. SCRIPPS CLINIC MEDICAL GROUP NPI is 1457336273. The provider is registered as an organization entity type.

The provider's business location address is:

7565 MISSION VALLEY RD
SUITE 200
SAN DIEGO, CA
ZIP 92108-431
Phone: (619) 245-2350
Fax: (619) 245-2390

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 05D1065419 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/14/2005 and was last updated on 12/11/2007.

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	GR0013263	MEDICAID	CALIFORNIA
2	C40904	OTHER		RAILROAD MEDICARE
3	ZZZ21938Z	OTHER	CALIFORNIA	BLUE SHIELD OF CALIFORNIA
4	W7168	MEDICARE PIN

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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