Look up the most recent NPI and PECOS records

Scripps Health

Emergency Medicine

Allopathic & Osteopathic Physicians

9888 Genesee Ave, La Jolla, CA 92037-1276

PECOS Enrollment

Based on the most recent information from CMS, provider Scripps Health does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1407808777
Provider Type
Organization
Full Name
Scripps Health

Subpart
No
Enumeration Date
5/16/2006
Last Updated
8/22/2020

Contact Information

Practice Location

9888 Genesee Ave, La Jolla, CA 92037-1276

(858) 457-4123

Unlisted Fax

Mailing Location

PO Box 81243, San Diego, CA 92138-1243

(619) 285-5990

Unlisted Fax

Authorized Official

Armstrong, John (Vp Finance)

(858) 678-6538

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer

Provider Identifiers

ID	Description	Issuer
ID GR005809K	Description Medicaid	Issuer Unlisted California

Scripps Health

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Lippi, Matthew W

Witucki, Peter J

Tresenriter, Megan

Medak, Anthony J

Dunford, James

Tong, Tri C

Smith, David Jay

Jacoby, Irving

Clark, Richard F

Guss, David