NPIMap

Organization Active NPI

Scripps Clinic Medical Group, Inc

  • Obstetrics & Gynecology Physician
  • La Jolla, CA
National Provider Identifier
1205959574
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
SCRIPPS CLINIC MEDICAL GROUP, INC
Practice address
9850 Genesee Ave
Suite 600
La Jolla, CA 92037-1224
Phone
(858) 453-0753
Fax
(858) 552-6885
NPI assigned
Apr 9, 2007
Organization subpart
Yes
Parent organization
SCRIPPS HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Richard Rothberger
Title
Corporate Executive VP / Cfo
Phone
(858) 678-7288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

9850 Genesee Ave
Suite 600
La Jolla, CA 92037-1224

Mailing address

File # 54433
Los Angeles, CA 90074-4433
Phone (858) 784-5888

National Provider Directory

National Provider Directory
Tax ID family
Scripps Clinic Medical Group21 organizations share this tax ID, including this one
Part of
Scripps Clinic Med GRP Inc

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312243200000",
    "number": "1205959574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FILE # 54433",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900744433",
            "telephone_number": "858-784-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE",
            "address_2": "SUITE 600",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371224",
            "telephone_number": "858-453-0753",
            "fax_number": "858-552-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCRIPPS CLINIC MEDICAL GROUP, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SCRIPPS HEALTH",
        "enumeration_date": "2007-04-09",
        "last_updated": "2011-08-02",
        "status": "A",
        "authorized_official_last_name": "ROTHBERGER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CORPORATE EXECUTIVE VP / CFO",
        "authorized_official_telephone_number": "858-678-7288",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.