NPIMap

Organization Active NPI

Scripps Health

  • 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
Practice address
4077 5TH Ave
San Diego, CA 92103-2180
Phone
(619) 260-7101
NPI assigned
Jan 3, 2006
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 identifiers 11

IdentifierTypeStateIssuer
ZZT40077GOtherMEDI CAL HMO OUT PATIENT
ZZZA3708ZOtherBLUE SHIELD
121MEROtherCOUNTY MEDICAL SERVICES
6152170OtherAETNA
HSC30077GOtherMEDI CAL HMO IN PATIENT
050077B000000Other1011 FUND ANDMINISTERED
HSC30077GOtherMEDICAL INPATIENT
050077OtherBLUE CROSS
MEOtherKAISER
ZZT30077GOtherMEDICAL INPATIENT ADMINIS
ZZT40077GOtherMEDI CAL OUT PATIENT

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

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).

Other NPIs on the same Medicare enrollment 5

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Scripps Mercy HospitalCCN 050077
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 (25 of 32)

180 Otay Lakes Rd
Ste 110
Bonita, CA 91902
Phone (619) 585-0476

6260 El Camino Real
Carlsbad, CA 92009
Phone (760) 476-2953

2452 Fenton St
Ste 301
Chula Vista, CA 91914
Phone (619) 946-4073

855 Third Ave
Ste 2230
Chula Vista, CA 91911
Phone (619) 271-7992

311 Del Mar Ave
Chula Vista, CA 91910
Phone (619) 427-3355

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

717 Third Ave
Chula Vista, CA 91910
Phone (619) 941-1545

340 Fourth Ave
Ste 10
Chula Vista, CA 91910
Phone (619) 426-8222

1222 1st St
Ste 100
Coronado, CA 92118

892 E Madison Ave
El Cajon, CA 92020
Phone (619) 737-1117

320 Santa Fe Dr
Ste 212
Encinitas, CA 92024
Phone (760) 452-3340

10666 N Torrey Pines Rd
#209
La Jolla, CA 92037
Phone (858) 554-8122

9898 Genesee Ave
Fl 3
La Jolla, CA 92037
Phone (858) 455-6330

4120 La Jolla Village Dr
#200
La Jolla, CA 92037

File 50367
Los Angeles, CA 90074

330 E 8th St
National City, CA 91950

330 E 8th St
Ste 340
National City, CA 91950

605 Crouch St
Oceanside, CA 92054
Phone (760) 757-4566

3923 Waring Rd
Ste A
Oceanside, CA 92056
Phone (760) 630-0529

4044 5th Ave
San Diego, CA 92103
Phone (619) 452-7350

16516 Bernardo Center Dr
Ste 220
San Diego, CA 92128
Phone (858) 336-2801

8010 Frost St
Fl 2
San Diego, CA 92123
Phone (800) 827-4277

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

1855 1st Ave
Ste 200
San Diego, CA 92101
Phone (619) 233-4044

7750 Dagget St
Ste 108
San Diego, CA 92111
Phone (858) 571-1004

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.

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI CAL HMO OUT PATIENT",
            "identifier": "ZZT40077G",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZA3708Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNTY MEDICAL SERVICES",
            "identifier": "121MER",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "6152170",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI CAL HMO IN PATIENT",
            "identifier": "HSC30077G",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1011 FUND ANDMINISTERED",
            "identifier": "050077B000000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL INPATIENT",
            "identifier": "HSC30077G",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "050077",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "ME",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL INPATIENT ADMINIS",
            "identifier": "ZZT30077G",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI CAL OUT PATIENT",
            "identifier": "ZZT40077G",
            "state": null
        }
    ],
    "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.