Active NPI
Scripps Health
- Clinical Medical Laboratory
- Vista, CA
National Provider Identifier
1598921405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- SCRIPPS HEALTH
- Practice address
- 130 Cedar Rd # 300
Vista, CA 92083-5102 - Phone
- (706) 806-5550
- NPI assigned
- Jul 30, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert W Sharpe, M.D.
- Title
- Laboratory Director
- Phone
- (858) 455-9100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
130 Cedar Rd # 300
Vista, CA 92083-5102
Mailing address
10790 Rancho Bernardo Rd
San Diego, CA 92127-5705
Phone (760) 806-5400
Other names 1
- Scripps Clinic Medical Laboratory - Cedar
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060114000013 | CA | Part B Supplier - Independent Clinical Laboratory | 9234033853 |
4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: La Jolla, CA; Oceanside, CA; San Diego, CA |
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Clinical Medical Laboratory
- San Diego, CA
- NPI 1578549044
O20060114000013
-
dba Scripps Clinic Medical Laboratories
- Clinical Medical Laboratory
- San Diego, CA
- NPI 1720279805
O20060114000013
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0666503 | Scripps Coastal Medical Center-Cedar | Certificate of waiver | Jan 15, 2027 |
National Provider Directory
National Provider DirectoryLocations
130 Cedar Rd
#300
Vista, CA 92083
Phone (706) 806-5550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723075200000",
"number": "1598921405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10790 RANCHO BERNARDO RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921275705",
"telephone_number": "760-806-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 CEDAR RD # 300",
"city": "VISTA",
"state": "CA",
"postal_code": "920835102",
"telephone_number": "706-806-5550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCRIPPS HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-30",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A",
"authorized_official_last_name": "SHARPE",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "LABORATORY DIRECTOR",
"authorized_official_telephone_number": "858-455-9100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Scripps Clinic Medical Laboratory - Cedar",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.