NPIMap

Organization Active NPI

Scripps Health

Doing business as Scripps Mercy Hospital

  • General Acute Care Hospital
  • San Diego, CA
National Provider Identifier
1659359446
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
SCRIPPS HEALTH
Doing business as
Scripps Mercy Hospital
Scripps Mercy Hospital - Chula Vista
Practice address
4077 5TH Ave
San Diego, CA 92103-2180
Phone
(619) 260-7101
NPI assigned
Jan 3, 2006
Last updated
Jun 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Authorized official

Name
Brett Tande
Title
Evp/Cfo
Phone
(858) 678-7227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

4077 5TH Ave
San Diego, CA 92103-2180

Mailing address

10790 Rancho Bernardo Rd # 4S-303
San Diego, CA 92127-5705
Phone (619) 260-7101

Other practice location 1

435 H St
Chula Vista, CA 91910-4307
Phone (619) 691-7250

Other names 2

  • Scripps Mercy Hospital Doing business as
  • Scripps Mercy Hospital - Chula Vista Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031124000822 CA Part B Supplier - Clinic/Group Practice 9234033853 Receives reassigned benefits from 1,788 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
O20041221000963 CA Part A Provider - Hospital 9234033853 Practice locations: Chula Vista, CA; San Diego, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659359446. Details of each certification follow.

Hospital certification: CCN 050077

Legal name
SCRIPPS HEALTH
Doing business as
SCRIPPS MERCY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Nov 18, 2021
Beds
700
Ownership / control type
Private (not for profit)
Most recent change of ownership
May 11, 1998 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Sep 29, 1924 in CA
Enrollment address
4077 5TH Ave
San Diego, CA 92103-2105
Other Hospital Practice Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

  • Scripps Health

    dba Scripps Mercy Hospital Behavioral Health Unit

    • Psychiatric Hospital Unit
    • San Diego, CA
    • NPI 1154308005

    9234033853

    Same PAC ID
  • Scripps Health

    dba Scripps Clinic Ambulatory Surgery Center

    • Ambulatory Surgical Clinic/Center
    • San Diego, CA
    • NPI 1245216928

    9234033853

    Same PAC ID
  • Scripps Health

    dba Scripps Clinic

    • Multi-Specialty Clinic/Center
    • La Jolla, CA
    • NPI 1275899072

    9234033853

    Same PAC ID
  • Scripps Health

    dba ASC - Jefferson

    • Ambulatory Surgical Clinic/Center
    • Oceanside, CA
    • NPI 1417580028

    9234033853

    Same PAC ID
  • Scripps Health
    • Clinical Medical Laboratory
    • La Jolla, CA
    • NPI 1427034990

    9234033853

    Same PAC ID
  • Scripps Health

    dba Scripps Memorial Hospital Encinitas

    • General Acute Care Hospital
    • Encinitas, CA
    • NPI 1700829199

    9234033853

    Same PAC ID
  • Scripps Health

    dba Scripps Clinic Medical Laboratories

    • Anatomic Pathology & Clinical Pathology Physician
    • La Jolla, CA
    • NPI 1720755275

    9234033853

    Same PAC ID
  • Scripps Health

    dba Scripps Green Hospital

    • General Acute Care Hospital
    • La Jolla, CA
    • NPI 1841233780

    9234033853

    Same PAC ID
  • Scripps Health

    dba Scripps Memorial Hospital La Jolla

    • General Acute Care Hospital
    • La Jolla, CA
    • NPI 1841277704

    9234033853

    Same PAC ID
  • Scripps Health
    • Ambulatory Surgical Clinic/Center
    • La Jolla, CA
    • NPI 1972054534

    9234033853

    Same PAC ID

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

  • Scripps Health

    dba Scripps Clinic

    • Multi-Specialty Clinic/Center
    • La Jolla, CA
    • NPI 1275899072

    O20031124000822

    Same enrollment
  • Scripps Health

    dba Scripps Cardiovascular and Thoracic Surgery Center

    • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
    • La Jolla, CA
    • NPI 1619108503

    O20031124000822

    Same enrollment
  • Scripps Health

    dba Scripps Memorial Hospital Encinitas

    • General Acute Care Hospital
    • Encinitas, CA
    • NPI 1700829199

    O20031124000822

    Same enrollment
  • Scripps Health

    dba Scripps Memorial Hospital La Jolla

    • General Acute Care Hospital
    • La Jolla, CA
    • NPI 1841277704

    O20031124000822

    Same enrollment
  • Scripps Health

    dba Scripps Coastal Medical Center

    • Family Medicine Physician
    • San Diego, CA
    • NPI 1881636108

    O20031124000822

    Same enrollment

Care Compare: Hospital

Medicare Care Compare
Listed as
Scripps Mercy HospitalCCN 050077 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0721590Scripps Mercy Hospital San Diego4077 Fifth Ave, San Diego, CA 92103AccreditationFeb 27, 2027

National Provider Directory

National Provider Directory

Locations

1741 Eastlake Pkwy
Ste 107
Chula Vista, CA 91915

227 Church Ave
Chula Vista, CA 91910
Phone (619) 426-9610

340 Fourth Ave
Ste 12
Chula Vista, CA 91910
Phone (619) 425-5559

480 Fourth Ave
Ste 403
Chula Vista, CA 91910
Phone (619) 691-7587

681 Third Ave
Chula Vista, CA 91910
Phone (619) 420-2111

865 Third Ave
Ste 112
Chula Vista, CA 91911
Phone (619) 271-7992

2732 Navajo Rd
Ste 200
El Cajon, CA 92020
Phone (619) 287-7246

516 W Aten Rd
Ste 1
Imperial, CA 92251
Phone (760) 355-7748

9898 Genesee Ave
Fl 4
La Jolla, CA 92037
Phone (858) 824-4249

11306 Mountain View Ave
Loma Linda, CA 92354
Phone (917) 714-3336

File 50367
Los Angeles, CA 90074

2490 Hospital Dr
Ste 102
Mountain View, CA 94040
Phone (650) 934-7520

605 Crouch St
Oceanside, CA 92054
Phone (760) 736-7676

11199 Sorrento Valley Rd
Ste 203
San Diego, CA 92121
Phone (619) 566-0640

11770 Bernardo Plaza Ct
Ste 270
San Diego, CA 92128
Phone (858) 485-0554

2918 5th Ave
San Diego, CA 92103
Phone (619) 688-0770

4033 3rd Ave
Ste 420
San Diego, CA 92103
Phone (619) 294-9292

4060 4th Ave
Ste 405
San Diego, CA 92103
Phone (619) 297-9131

5471 Kearny Villa Rd
Ste 100
San Diego, CA 92123
Phone (858) 560-4567

550 Washington St
Ste 423
San Diego, CA 92103
Phone (619) 297-5321

7910 Frost St
Ste 350
San Diego, CA 92123
Phone (858) 496-4800

8010 Frost St
Ste 100
San Diego, CA 92123
Phone (858) 637-4700

278 Town Center Pkwy
Ste 105
Santee, CA 92071
Phone (619) 449-6621

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Ownership & related parties

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Theodore S Thomas Individual Corporate Director Jan 1, 2022
Richard C Bigelow Individual Corporate Director Jan 1, 2011
Don Goldman Individual Corporate Director Jan 26, 2017
Nicole a Clay Individual Corporate Director Jan 1, 2016
William D Gore Individual Corporate Director Jan 1, 2022
Robert Buell Individual Corporate Director Aug 4, 2022
John Boyer Individual Corporate Director Jan 1, 2019
Jan K Caldwell Individual Corporate Director Jan 1, 2012
Brett Tande Individual Corporate OfficerCorporate Sr Vice President & Cfo Mar 28, 2022
Irma Gonzalez Individual Corporate Director Aug 4, 2002
Kenneth B. Ford Individual Corporate OfficerCorp VP/Treasurer Sep 25, 2023 50%
Christopher D Van Gorder Individual Corporate OfficerPresident, Ceo Jun 4, 2000
Kevin Hamilton Individual Corporate Director Mar 1, 2019
Shireen Matthews Individual Corporate Director Aug 4, 2022
Elliot Scott Individual Corporate Director Mar 1, 2019
Thomas Gammiere Individual W-2 Managing EmployeeSr VP Chief Executive Sep 27, 1987
Richard H Vortmann Individual Corporate Director Jan 1, 2004
Jeff R Bowman Individual Corporate Director Jan 1, 2004
Gene Barduson Individual Corporate Director Jan 26, 2017
Dan Feldman Individual Corporate Director Jan 1, 2022

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Scripps Memorial Hospital EncinitasEncinitas, CA, CCN 050503 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 10, 1989
Seaport Home HealthCarlsbad, CA, CCN 059303 Home health agency 5% Or Greater Indirect Ownership Interest (40%) Oct 1, 2020
Seaport Scripps Home HealthSan Diego, CA, CCN 057602 Home health agency 5% Or Greater Indirect Ownership Interest (40%) Oct 1, 2020
Seaport HospiceSan Diego, CA, CCN 551745 Hospice 5% Or Greater Indirect Ownership Interest (20%) Oct 1, 2020

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 731

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 731

Affiliated clinicians 1,026

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,026

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1659359446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10790 RANCHO BERNARDO RD # 4S-303",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921275705",
            "telephone_number": "619-260-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4077 5TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032180",
            "telephone_number": "619-260-7101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "435 H St",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919104307",
            "country_code": "US",
            "telephone_number": "619-691-7250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SCRIPPS HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-03",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "TANDE",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "EVP/CFO",
        "authorized_official_telephone_number": "858-678-7227"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Scripps Mercy Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Scripps Mercy Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Scripps Mercy Hospital - Chula Vista",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.