Organization
SCRIPPS HEALTH
Active
Other names
Scripps Memorial Hospital Encinitas
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRETT TANDE (EVP/CFO)
(858) 678-7227
Entity
Organization
Contact information
Practice address
354 SANTA FE DR, ENCINITAS, CA 92024-5142
(760) 457-4123
Mailing address
10790 RANCHO BERNARDO RD # 4S-303, SAN DIEGO, CA 92127-5705
(858) 927-5328
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
08 0000148
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050503
BLUE CROSS
CA
01
—
050503B000000
TRAILBLAZERS 1011
CA
01
—
163SHEN
COUNTY MED SRVC SD
CA
01
—
26
KAISER
CA
01
—
6150660
AETNA
CA
05
—
HSC 30503G
—
CA
01
—
HSC30503G
MCL HMO IN-PATIENT
CA
01
—
SMEN
UNIVERSAL CARE
CA
05
—
ZZT 30503G
—
CA
01
—
ZZT 40503G
MCL HMO OUT-PATIENT
CA
05
—
ZZT 40503G
—
CA
01
—
ZZZD0503Z
BLUE SHIELD
CA
Enumeration date
06/14/2006
Last updated
06/27/2022
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