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Scripps Health

Clinic/Center, Ambulatory Surgical in La Jolla, CA. Organization (NPI-2).

NPI number1972054534
StatusActive
Last updated in NPPESAug 14, 2023

Details

NPI
1972054534
Entity type
Organization (NPI-2)
Legal business name
Scripps Health
Organization subpart
No
Enumeration date
Oct 19, 2016
Certification date
Aug 14, 2023
Last updated
Aug 14, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PART B SUPPLIER - AMBULATORY SURGICAL CENTER
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QA1903X Clinic/Center, Ambulatory Surgical–CAYes

Practice location

9898 Genesee Ave
La Jolla, CA 92037-1205

Phone 858-824-5000

Mailing address

10790 Rancho Bernardo Rd
San Diego, CA 92127-5705

Phone 858-824-4184

Authorized official

Brett Tande
Corporate Executive Vp, Cfo
8586787227

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Ambulatory Surgical Clinic/Center providers in La Jolla, CA

All 18 Ambulatory Surgical Clinic/Center providers in La Jolla · All 4,301 providers in La Jolla

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