NPIMap

Organization Active NPI

Scripps Health

  • General Acute Care Hospital
  • Encinitas, CA
National Provider Identifier
1700829199
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
08 0000148 Issued in CA
Legal business name
SCRIPPS HEALTH
Practice address
354 Santa Fe Dr
Encinitas, CA 92024-5142
Phone
(760) 457-4123
NPI assigned
Jun 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 08 0000148 CA Primary

Addresses

Primary practice location

354 Santa Fe Dr
Encinitas, CA 92024-5142

Mailing address

10790 Rancho Bernardo Rd # 4S-303
San Diego, CA 92127-5705
Phone (858) 927-5328

Other identifiers 12

IdentifierTypeStateIssuer
163SHENOtherCACOUNTY MED SRVC SD
ZZT 30503GMedicaidCA
26OtherCAKAISER
SMENOtherCAUNIVERSAL CARE
6150660OtherCAAETNA
HSC 30503GMedicaidCA
ZZT 40503GMedicaidCA
ZZZD0503ZOtherCABLUE SHIELD
050503B000000OtherCATRAILBLAZERS 1011
050503OtherCABLUE CROSS
HSC30503GOtherCAMCL HMO IN-PATIENT
ZZT 40503GOtherCAMCL HMO OUT-PATIENT

Other names 1

  • Scripps Memorial Hospital Encinitas 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 CA3 enrollments

Enrollment records 3

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
O20040524001507 CA Part B Supplier - Clinic/Group Practice 0143201442 Receives reassigned benefits from 28 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Encinitas, CA; San Diego, CA; Oceanside, CA; Escondido, CA; Carlsbad, CA
O20080212000716 CA Part A Provider - Hospital 9234033853 Practice locations: Encinitas, CA

Hospital certification: CCN 050503

Legal name
SCRIPPS HEALTH
Doing business as
SCRIPPS MEMORIAL HOSPITAL ENCINITAS
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Feb 1, 1978
Last certification
Sep 29, 2017
Beds
158
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Sep 29, 1924 in CA
Enrollment address
354 Santa Fe Dr
Encinitas, CA 92024-5142
Other Hospital Practice Location
Hospital subgroups
General, Acute care

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 12

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Scripps Memorial Hospital - EncinitasCCN 050503
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
05D0663108Scripps Memorial Hospital354 Santa Fe Drive, Encinitas, CA 92024AccreditationFeb 27, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 22

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 DirectorBoard Member Jan 1, 2022
Richard C Bigelow Individual Corporate DirectorBoard Member Jan 1, 2011
Don Goldman Individual Corporate DirectorBoard Member Jan 26, 2017
Nicole a Clay Individual Corporate DirectorBoard Member Jan 1, 2016
William D Gore Individual Corporate DirectorBoard Member Jan 1, 2022
John Boyer Individual Corporate DirectorBoard Member Jan 1, 2019
Judith a Churchill Individual Corporate DirectorBoard Member Jan 1, 2008
Jan K Caldwell Individual Corporate DirectorBoard Member Jan 1, 2012
Carl Etter Individual W-2 Managing EmployeeSVP, Regional Chief Executive North Dec 8, 2003
Katherine a Lauer Individual Corporate DirectorBoard Member Jan 1, 2011
Brett Tande Individual Corporate OfficerCorporate Sr Vice President & Cfo Mar 28, 2022
Marty J Levin Individual Corporate DirectorBoard Member Jan 1, 2011
Kenneth B. Ford Individual Corporate OfficerCorp VP/Treasurer Sep 25, 2023
Christopher D Van Gorder Individual Corporate OfficerPresident and Ceo May 1, 2000
Kevin Hamilton Individual Corporate DirectorBoard Member Mar 1, 2019
Elliot Scott Individual Corporate DirectorBoard Member Jan 1, 2019
Bradley Ellis Individual Corporate Officer Jan 1, 2020
Richard H Vortmann Individual Corporate DirectorBoard Member Jan 1, 2004
Jeff R Bowman Individual Corporate OfficerBoard Member Jan 1, 2004
Gene Barduson Individual Corporate DirectorBoard Member Jan 26, 2017
Scripps Health Organization, Encinitas, CA Non-profit 5% Or Greater Direct Ownership Interest Feb 10, 1989 100%
Dan Feldman Individual Corporate DirectorBoard Member Jan 1, 2022

Owners & managing parties with NPI records 10

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
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 3

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

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1,452

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

View all 1,452

Affiliated clinicians 1,011

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

View all 1,011

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656288000000",
    "number": "1700829199",
    "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": "858-927-5328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 SANTA FE DR",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245142",
            "telephone_number": "760-457-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCRIPPS HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-21",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "08 0000148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNTY MED SRVC SD",
            "identifier": "163SHEN",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT 30503G",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "26",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSAL CARE",
            "identifier": "SMEN",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "6150660",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSC 30503G",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT 40503G",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZD0503Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAILBLAZERS 1011",
            "identifier": "050503B000000",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "050503",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCL HMO IN-PATIENT",
            "identifier": "HSC30503G",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCL HMO OUT-PATIENT",
            "identifier": "ZZT 40503G",
            "state": "CA"
        }
    ],
    "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 Memorial Hospital Encinitas",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Scripps Memorial Hospital Encinitas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.