MEDICARE: SCRIPPS CLINIC MEDICAL GROUP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM1300X	Multi-Specialty Clinic/Center

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	C40904	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	ZZZ21938Z	OTHER	CA	BLUE SHIELD OF CALIFORNIA

General Provider Information

NPI Number	:	1457336273
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCRIPPS CLINIC MEDICAL GROUP

Provider Business Mailing Address
First Line	:	FILE# 54433
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90074-0001
Country	:	US
Telephone Number	:	858-784-5906
Fax Number	:	858-784-5922

Provider Business Practice Location Address
First Line	:	7565 MISSION VALLEY RD
Second Line	:	SUITE 200
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-4431
Country	:	US
Telephone Number	:	619-245-2350
Fax Number	:	619-245-2390

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ROBERT B. SARNOFF
Credential	:	M.D.
Telephone Number	:	858-554-8862

Provider Enumeration Date	:	12/14/2005
Last Update Date	:	12/11/2007

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1194706408 — GERARDO CISNEROS-SEIBEL MD
Practice Location Address:

7565 MISSION VALLEY RD STE 200S91
SAN DIEGO, CA
92108-4431

Practice Phone: 619-245-2810
Practice Fax: 330-456-9476

1831160019 — DR. JENNIFER A. NAMAZY M.D.
Practice Location Address:

7565 MISSION VALLEY RD
SAN DIEGO, CA
92108-4431

Practice Phone: 619-245-2900
Practice Fax:

1194796664 — DR. TRI HUYNH LAC MD
Practice Location Address:

7565 MISSION VALLEY RD STE 200
SAN DIEGO, CA
92108-4431

Practice Phone: 619-245-2830
Practice Fax: 619-245-2893

1538197926 — DR. JANNA L. CATALDO M.D.
Practice Location Address:

7565 MISSION VALLEY RD , SUITE 200
SAN DIEGO, CA
92108-4431

Practice Phone: 619-245-2350
Practice Fax: 858-784-5933

1184658973 — XING J REN M.D.
Practice Location Address:

7565 MISSION VALLEY RD
SAN DIEGO, CA
92108-4431

Practice Phone: 619-245-2350
Practice Fax: 619-245-2893

Directions to “SCRIPPS CLINIC MEDICAL GROUP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.