| Scripps Clinic | |
|
310 Santa Fe Dr Encinitas CA 92024-5110 | |
| (760) 753-5594 | |
| (858) 784-5922 |
| Full Name | Scripps Clinic |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 310 Santa Fe Dr, Encinitas, California |
| Authorized Official Name and Position | Richard Rothberger (CORPORATE EXECUTIVE VP/CFO) |
| Authorized Official Contact | 8586786919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scripps Clinic 10790 Rancho Bernardo Rd # 4s-303 San Diego CA 92127-5705 Ph: (858) 927-5328 | Scripps Clinic 310 Santa Fe Dr Encinitas CA 92024-5110 Ph: (760) 753-5594 |
| NPI Number | 1902881063 |
|---|---|
| Provider Enumeration Date | 12/13/2005 |
| Last Update Date | 03/04/2020 |
| Certification Date | 03/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902881063 | NPI | - | NPPES |
| ZZZ56859Z | Other | CA | BLUE SHIELD OF CALIFORNIA |
| C40904 | Other | RAILROAD MEDICARE | |
| GR0013266 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
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