NPIMap

Organization Active NPI

Scripps Health

Doing business as Scripps Green Hospital

  • General Acute Care Hospital
  • La Jolla, CA
National Provider Identifier
1841233780
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
08 0000 139 Issued in CA
Legal business name
SCRIPPS HEALTH
Doing business as
Scripps Green Hospital
Practice address
10666 N Torrey Pines Rd
La Jolla, CA 92037-1027
Phone
(858) 455-9100
NPI assigned
Jun 14, 2006
Last updated
Jun 27, 2022By the provider in NPPES
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
Brett Tande
Title
Evp/Cfo
Phone
(858) 678-7227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 08 0000 139 CA Primary

Addresses

Primary practice location

10666 N Torrey Pines Rd
La Jolla, CA 92037-1027

Mailing address

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

Other identifiers 10

IdentifierTypeStateIssuer
6151040OtherCAAETNA
HSP 40424JOtherCAMCL HMO OUT-PATIENT
ZZZH3705ZOtherCABLUE SHIELD
HSP 40424JMedicaidCA
HCP 30424JMedicaidCA
SCMEOtherCAUNIVERSAL CARE
3OtherCAKAISER
HSC 30424JOtherCAMCL HMO IN-PATIENT
05 0424OtherCABLUE CROSS
HSC 30424JMedicaidCA

Other names 1

  • Scripps Green Hospital 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 CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061004000337 CA Part A Provider - Hospital 9234033853 Practice locations: La Jolla, CA; San Diego, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841233780. Details of each certification follow.

Hospital certification: CCN 050424

Legal name
SCRIPPS HEALTH
Doing business as
SCRIPPS GREEN HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jun 25, 1977
Last certification
Sep 21, 2017
Beds
173
Ownership / control type
Other
Most recent change of ownership
Nov 1, 1991 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Sep 29, 1924 in CA
Enrollment address
10666 N Torrey Pines Rd
La Jolla, CA 92037-1027
Other Hospital Practice Location
Hospital subgroups
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).

  • 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 Mercy Hospital

    • General Acute Care Hospital
    • San Diego, CA
    • NPI 1659359446

    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 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

Care Compare: Hospital

Medicare Care Compare
Listed as
Scripps Green HospitalCCN 050424 · All quality measures
Overall star rating
5 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
Scripps Mem Hosp-la Jol27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Locations

2205 Vista Way
Oceanside, CA 92054
Phone (760) 704-5400

Ownership & related parties

All disclosed owners & managing parties 21

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
John Boyer Individual Corporate Director Jan 1, 2019
Judith a Churchill Individual Corporate Director Jan 1, 2008
Jan K Caldwell Individual Corporate Director Jan 1, 2012
Carl Etter Individual W-2 Managing Employee Feb 1, 2008
Katherine a Lauer Individual Corporate Director Jan 1, 2011
Brett Tande Individual Corporate OfficerCorporate Sr Vice President & Cfo Mar 28, 2022
Marty J Levin Individual Corporate Director Jan 1, 2011
Kenneth B. Ford Individual Corporate OfficerCorp VP/Treasurer Sep 25, 2023
Christopher D Van Gorder Individual Corporate OfficerPresident & Ceo May 1, 2000
Kevin Hamilton Individual Corporate Director Mar 1, 2019
Elliot Scott Individual Corporate Director Mar 1, 2019
Bradley Ellis Individual Corporate Officer Jan 1, 2020
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 607

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 607

Affiliated clinicians 989

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

View all 989

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": "1841233780",
    "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": "10666 N TORREY PINES RD",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371027",
            "telephone_number": "858-455-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCRIPPS HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "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": "CA",
            "license": "08 0000 139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "6151040",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCL HMO OUT-PATIENT",
            "identifier": "HSP 40424J",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZH3705Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP 40424J",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HCP 30424J",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSAL CARE",
            "identifier": "SCME",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "3",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCL HMO IN-PATIENT",
            "identifier": "HSC 30424J",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "05 0424",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSC 30424J",
            "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 Green Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Scripps Green Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.