Provider Demographics
NPI:1992782841
Name:SCRIPPS HEALTH
Entity type:Organization
Organization Name:SCRIPPS HEALTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EVP CFO
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:ROTHBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-678-6828
Mailing Address - Street 1:10790 RANCHO BERNARDO RD # 4S-303
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92127-5705
Mailing Address - Country:US
Mailing Address - Phone:858-657-4218
Mailing Address - Fax:858-657-4243
Practice Address - Street 1:9888 GENESEE AVE
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1276
Practice Address - Country:US
Practice Address - Phone:858-457-4123
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-30
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA080000050314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
6151030OtherAETNA
LTC70035FOtherMEDICAL IN PATIENT
LTC70035FOtherMEDICAL HMO IN PATIENT
SMLAOtherUNIVERSAL CARE
LTC55498FOtherMEDICAL IN PATIENT ADMINI
050324OtherBLUE CROSS
080000050OtherSTATE LICENSE
27OtherKAISER
ZZT40324FOtherMEDICAL HMO OUT PATIENT
ZZZA3701ZOtherBLUE SHIELD