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Scripps Health

Organization Active NPI Ambulatory Surgical Clinic/Center · La Jolla, CA

NPI 1972054534 · NPPES record last updated Aug 14, 2023

Key facts

NPI
1972054534
Entity type
Organization (NPI type 2)
Primary specialty
Ambulatory Surgical Clinic/Center 261QA1903X
Legal business name
SCRIPPS HEALTH
Practice address
9898 Genesee Ave
La Jolla, CA 92037-1205
Phone
(858) 824-5000
NPI assigned
Oct 19, 2016
Organization subpart
No

Authorized official

Name
Mr. Brett Tande
Title
Corporate Executive VP, Cfo
Phone
(858) 678-7227

Owned or controlled facilities with NPI records 4

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

Other NPIs with the same Medicare PAC ID 10

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

Corporate family (same tax ID) 26

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

View all 26

Practitioners 1,450

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

View all 1,450

Medicare Care Compare: Ambulatory surgical center

Listed as
Scripps Health CCN 05C0002179
Medicare certification status
Active (Provider of Services file)

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

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 Encinitas
Encinitas, CA · CCN 050503		 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 10, 1989
Seaport Home Health
Carlsbad, CA · CCN 059303		 Home health agency 5% Or Greater Indirect Ownership Interest (40%) Oct 1, 2020
Seaport Scripps Home Health
San Diego, CA · CCN 057602		 Home health agency 5% Or Greater Indirect Ownership Interest (40%) Oct 1, 2020
Seaport Hospice
San Diego, CA · CCN 551745		 Hospice 5% Or Greater Indirect Ownership Interest (20%) Oct 1, 2020

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20170928003853 CA Part B Supplier - Ambulatory Surgical Center 9234033853 Practice locations: La Jolla, CA

National Provider Directory

Tax ID family
Scripps Clinic Med GRP Inc (27 organizations share this tax ID)

Locations

9898 Genesee Ave
Ste 100
La Jolla, CA 92037

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X CA Yes

Addresses

Primary practice location

9898 Genesee Ave
La Jolla, CA 92037-1205

Mailing address

10790 Rancho Bernardo Rd
San Diego, CA 92127-5705
Phone (858) 824-4184

Other providers in La Jolla, CA

All providers in La Jolla, CA · Ambulatory Surgical Clinic/Center in California

Sources for this page

Verify at the official NPI Registry.