Provider Demographics
NPI:1841277704
Name:SCRIPPS HEALTH
Entity type:Organization
Organization Name:SCRIPPS HEALTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
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
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 1:9888 GENESEE AVE
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1200
Practice Address - Country:US
Practice Address - Phone:858-457-4123
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SCRIPPS HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-12-30
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
050324OtherBLUE CROSS
27OtherKAISER
ZZT30324FOtherMEDICAL IN PATIENT ADMINI
ZZT40324FOtherMEDICAL OUT PATIENT
050324B000000Other1011 FUND ADMINISTERED BY
080000050OtherSTATE LICENSE
ZZZA3701ZOtherBLUE SHIELD
164SHIJOtherCOUNTY MEDICAL SERVICES
ZZT40324FOtherMEDICAL HMO OUT PATIENT
6151030OtherAETNA
HSC30324FOtherMEDICAL IN PATIENT
SMLAOtherUNIVERSAL CARE
HSC30324FOtherMEDICAL HMO IN PATIENT
=========920370018OtherTRICARE
CA050324Medicare Oscar/Certification