Provider Demographics
NPI:1700829199
Name:SCRIPPS HEALTH
Entity Type:Organization
Organization Name:SCRIPPS HEALTH
Other - Org Name:SCRIPPS MEMORIAL HOSPITAL ENCINITAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EVP/CFO
Authorized Official - Prefix:MR
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:858-927-5328
Mailing Address - Fax:
Practice Address - Street 1:354 SANTA FE DR
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-5142
Practice Address - Country:US
Practice Address - Phone:760-457-4123
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-14
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA08 0000148282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA163SHENOtherCOUNTY MED SRVC SD
CAZZT 30503GMedicaid
CA26OtherKAISER
CASMENOtherUNIVERSAL CARE
CA6150660OtherAETNA
CAHSC 30503GMedicaid
CAZZT 40503GMedicaid
CAZZZD0503ZOtherBLUE SHIELD
CA050503B000000OtherTRAILBLAZERS 1011
CA050503OtherBLUE CROSS
CAHSC30503GOtherMCL HMO IN-PATIENT
CAZZT 40503GOtherMCL HMO OUT-PATIENT
CAZZT 30503GMedicaid