SCRIPPS CLINIC MEDICAL GROUP
NPI 1013993450
Clinic/Center - Multi-Specialty in San Diego, CA

Q: What is Scripps Clinic Medical Group's NPI number?

The NPI number for Scripps Clinic Medical Group is 1013993450. It was assigned to this organization in the NPPES registry on December 19, 2005.

Q: What is Scripps Clinic Medical Group's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since December 19, 2005CLIA 05D0569122 · Microscopy

4060 4TH AVE, 508, SAN DIEGO, CA 92103(619) 497-6192(858) 784-5922 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Scripps Clinic Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SCRIPPS CLINIC MEDICAL GROUP (NPI 1013993450) is a healthcare organization registered as a multi-specialty in San Diego, California and active in the NPI registry since December 2005. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Robert B. Sarnoff, President, as its authorized official.

NPPES Registry Identity

NPI1013993450

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameSCRIPPS CLINIC MEDICAL GROUP

Location Address4060 4TH AVE, 508San Diego, CA 92103-2116

Mailing AddressFile#54433Los Angeles, CA 90074-0001 · (858) 784-5906 · Fax (858) 784-5922

Phone(619) 497-6192

Fax(858) 784-5922

Organization SubpartNo

Authorized OfficialRobert B. SarnoffPresident · (858) 554-8862

Enumeration DateDecember 19, 2005

Last NPPES UpdateAugust 22, 2020

✔ NPI 1013993450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

4060 4TH AVE, San Diego, CA 92103

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Other Identifiers 1

OtherZZZ05907ZCA · Blue Shield Of California

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0569122

Scripps Clinic · San Diego, CA

Active · expires Aug 31, 2026

CLIA Number05D0569122

Laboratory TypePhysician Office

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorEdward J. Kane, MD

Laboratory Phone(858) 554-7509

Laboratory LocationScripps Clinic2918 Fifth Avenue Suite 100, San Diego, CA 92103

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIN DWYER N.P.-C

Nurse Practitioner (Family)

4060 4TH AVE, SUITE 310
SAN DIEGO, CA 92103

San Diego County (619) 297-4707

MRS. CHRISTIN ROSE BAWA ATC, PA-C

Physician Assistant

4060 4TH AVE, 7TH FLOOR
SAN DIEGO, CA 92103

San Diego County (619) 686-8313

SARAH JEAN WYLES

Physical Therapist

4060 4TH AVE
SAN DIEGO, CA 92103

San Diego County (619) 607-3023

SUJA DEVI DUBOIS MD

Internal Medicine (Gastroenterology)

4060 4TH AVE, #240
SAN DIEGO, CA 92103

San Diego County (619) 291-6064

DR. JOHN J MARTIN MD

Urology

4060 4TH AVE, SUITE 310
SAN DIEGO, CA 92103

San Diego County (619) 297-4707

SUZANNE MARIE HONEYCUTT PT

Physical Therapist

4060 4TH AVE, #105
SAN DIEGO, CA 92103

San Diego County (619) 299-5246

CARRIE BITSKO A.T.C.

Specialist/Technologist (Athletic Trainer)

4060 4TH AVE, SUITE 105
SAN DIEGO, CA 92103

San Diego County (619) 299-5246

MR. HOWARD RANDALL HICKS MD

Psychiatry & Neurology (Psychiatry)

4060 4TH AVE, #615
SAN DIEGO, CA 92103

San Diego County (619) 298-7135

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scripps Clinic Medical Group's NPI number?

The NPI number for Scripps Clinic Medical Group is 1013993450. It was assigned to this organization in the NPPES registry on December 19, 2005.

Where is Scripps Clinic Medical Group located?

Scripps Clinic Medical Group is located at 4060 4th Ave 508, San Diego, CA 92103. The listed phone number is (619) 497-6192.

What is Scripps Clinic Medical Group's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Scripps Clinic Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0569122) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Scripps Clinic Medical Group was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.