| Scripps Clinic Medical Group | |
|
12395 El Camino Real Suite 120 San Diego CA 92130-3082 | |
| (858) 794-0160 | |
| (858) 784-5922 |
| Full Name | Scripps Clinic Medical Group |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 12395 El Camino Real, San Diego, California |
| Authorized Official Name and Position | Robert B. Sarnoff (PRESIDENT) |
| Authorized Official Contact | 8585548862 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scripps Clinic Medical Group File#54433 Los Angeles CA 90074-0001 Ph: (858) 784-5906 | Scripps Clinic Medical Group 12395 El Camino Real Suite 120 San Diego CA 92130-3082 Ph: (858) 794-0160 |
| NPI Number | 1457337313 |
|---|---|
| Provider Enumeration Date | 12/21/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457337313 | NPI | - | NPPES |
| GR001326C | Medicaid | CA | |
| ZZZ38270Z | Other | CA | BLUE SHIELD OF CALIFORNIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (California) | Primary |
Stephen M. Daquino, Do; Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16445 Bernardo Center Dr, San Diego, CA 92128 Phone: 858-429-0099 Fax: 858-676-1172 | |
Nucleus Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4570 Executive Dr Ste 100, San Diego, CA 92121 Phone: 844-838-3322 | |
Moden Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8901 Activity Rd Ste 205, San Diego, CA 92126 Phone: 888-822-1184 Fax: 888-877-3676 | |
Aldiwani Medical Group Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11409 Windy Summit Pl, San Diego, CA 92127 Phone: 832-371-3279 Fax: 619-939-4556 | |
Azam Md & Mcjunkin Prof Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3455 Ingraham St, San Diego, CA 92109 Phone: 619-937-2055 | |
Presidio Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4440 Lamont St, San Diego, CA 92109 Phone: 858-270-7633 Fax: 858-270-7692 | |
Michael L Butera Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6699 Alvarado Rd Ste 2309, San Diego, CA 92120 Phone: 619-286-8803 Fax: 619-286-2344 |