Healthcare Provider Details

I. General information

NPI: 1144165127
Provider Name (Legal Business Name): SCRIPPS MERCY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

435 H ST
CHULA VISTA CA
91910-4307
US

IV. Provider business mailing address

43819 RYCKEBOSCH LN
LANCASTER CA
93535-5868
US

V. Phone/Fax

Practice location:
  • Phone: 619-691-7587
  • Fax:
Mailing address:
  • Phone: 661-390-8131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name: RICKY NUNEZ
Title or Position: RESIDENT
Credential: MD
Phone: 661-390-8131