OrganizationScripps Health(<Unavail>)General Acute Care HospitalHospitalsPractice Address4077 5th Ave, San Diego, CA 92103-2180(619) 260-7101PECOS EnrollmentBased on the most recent information from CMS, provider Scripps Health does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1659359446Provider TypeOrganizationFull NameScripps HealthOther Name<Unavail>SubpartNoEnumeration Date1/3/2006Last Updated6/7/2023Contact InformationPractice LocationPractice Address4077 5th Ave, San Diego, CA 92103-2180Phone(619) 260-7101FaxUnlisted FaxMailing LocationMailing Address10790 Rancho Bernardo Rd # 4s-303, San Diego, CA 92127-5705Phone(619) 260-7101FaxUnlisted FaxAuthorized OfficialNameTande, Brett (Evp/Cfo)Phone(858) 678-7227Provider TaxonomiesCodeDescriptionLicenseCode282N00000XPrimaryDescriptionGeneral Acute Care HospitalHospitalsLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerIDZZT40077GDescriptionOtherIssuerMEDI CAL HMO OUT PATIENTIDZZZA3708ZDescriptionOtherIssuerBLUE SHIELDID121MERDescriptionOtherIssuerCOUNTY MEDICAL SERVICESID6152170DescriptionOtherIssuerAETNAIDHSC30077GDescriptionOtherIssuerMEDI CAL HMO IN PATIENTID050077B000000DescriptionOtherIssuer1011 FUND ANDMINISTEREDIDHSC30077GDescriptionOtherIssuerMEDICAL INPATIENTID050077DescriptionOtherIssuerBLUE CROSSIDMEDescriptionOtherIssuerKAISERIDZZT30077GDescriptionOtherIssuerMEDICAL INPATIENT ADMINISIDZZT40077GDescriptionOtherIssuerMEDI CAL OUT PATIENT