Scripps Oral Pathology Service, LLC

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

Legal business name

SCRIPPS ORAL PATHOLOGY SERVICE, LLC

Practice address

6727 Flanders Drive
Ste 101
San Diego, CA 92121-2926

Phone

(858) 784-0600

Fax

(858) 784-0601

NPI assigned

Oct 17, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Elisama Chavez

Title

Office Manager

Phone

(858) 784-0600

Specialties & licenses 1

Addresses

Other names 1

• Scripps Oral Pathology Service Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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

• Brenda Lee Nelson, DDS

  • Oral and Maxillofacial Pathology Dentistry
  • San Diego, CA
  • NPI 1275503625
  NPD
• Gretchen Folk

  • Oral and Maxillofacial Pathology Dentistry
  • San Diego, CA
  • NPI 1033180047
  NPD (past)
• Gordon Marvin Rick, DDS, MS

  • Oral and Maxillofacial Pathology Dentistry
  • San Diego, CA
  • NPI 1679693550
  NPD (past)
• Lee James Slater, DDS, MS

  • Oral and Maxillofacial Pathology Dentistry
  • San Diego, CA
  • NPI 1336112721
  NPD (past)

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

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612742400000",
    "number": "1487082046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6727 FLANDERS DRIVE",
            "address_2": "STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212926",
            "telephone_number": "858-784-0600",
            "fax_number": "858-784-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6727 FLANDERS DRIVE",
            "address_2": "STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212926",
            "telephone_number": "858-784-0600",
            "fax_number": "858-784-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCRIPPS ORAL PATHOLOGY SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-17",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "ELISAMA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "858-784-0600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scripps Oral Pathology Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Scripps Oral Pathology Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scripps Health Inpatient Providers Medical Group Inc.
• Scripps Health Services, LLC
• Scripps Mercy Ambulatory Surgery Center, LP
• Scripps Mercy Physicians Cardiology Medical Corporation
• Scripps Optometric Group
• Scripps Psychiatric Medical Group
• Scripps Ranch Dental
• Scripps Ranch Family Dentistry
• Scripps Ranch Family Dentistry
• Scripps Ranch Medical Clinic

• Oral and Maxillofacial Pathology Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• Oral and Maxillofacial Pathology Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.