Provider Demographics
NPI:1659359446
Name:SCRIPPS HEALTH
Entity Type:Organization
Organization Name:SCRIPPS HEALTH
Other - Org Name:SCRIPPS MERCY HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EVP/CFO
Authorized Official - Prefix:
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:
Authorized Official - Last Name:TANDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-678-7227
Mailing Address - Street 1:10790 RANCHO BERNARDO RD # 4S-303
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92127-5705
Mailing Address - Country:US
Mailing Address - Phone:619-260-7101
Mailing Address - Fax:
Practice Address - Street 1:4077 5TH AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-2180
Practice Address - Country:US
Practice Address - Phone:619-260-7101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-03
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
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
CA050077Medicare Oscar/Certification