SCRIPPS ORAL PATHOLOGY SERVICE
NPI 1063683357
Clinical Medical Laboratory in San Diego, CA

Active since March 14, 2008CLIA 05D0643007 · Certificate of Compliance
5190 GOVERNOR DR, SUITE 106, SAN DIEGO, CA 92122(858) 784-0600(858) 784-0604 Get Directions Write a Review

NPPES record last updated: June 3, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Scripps Oral Pathology Service NPPES

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

SCRIPPS ORAL PATHOLOGY SERVICE (NPI 1063683357) is a healthcare organization registered as a clinical medical laboratory in San Diego, California and active in the NPI registry since March 2008. The organization holds a CLIA Certificate of Compliance certificate valid through July 19, 2027 and lists Gordon Marvin Rick, Owner/director, as its authorized official.

NPPES Registry Identity

NPI1063683357
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameGORDON M RICK
Location Address5190 GOVERNOR DR, SUITE 106San Diego, CA 92122-2847
Mailing Address5190 Governor Dr, Suite 106San Diego, CA 92122-2847 · (858) 784-0600 · Fax (858) 784-0604
Fax(858) 784-0604
Organization SubpartNo
Authorized OfficialGordon Marvin RickOwner/director · (858) 784-0600
Enumeration DateMarch 14, 2008
Last NPPES UpdateJune 3, 2013
NPI 1063683357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License Licensed in CA · CLF11078
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
5190 GOVERNOR DR, San Diego, CA 92122

Other Names 1

Doing Business AsScripps Oral Pathology Service

Other Identifiers 2

MedicaidLAB43007FCA
Medicare PINX058678CA

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 of Compliance 05D0643007

Scripps Oral Pathology Service · San Diego, CA
Active · expires Jul 19, 2027
CLIA Number05D0643007
Laboratory TypeIndependent
Certificate Effective DateJuly 20, 2025
Certificate Expiration DateJuly 19, 2027
Laboratory DirectorGretchen S. Folk
Laboratory Phone(858) 784-0600
Laboratory LocationScripps Oral Pathology Service6727 Flanders Dr, Ste 101, San Diego, CA 92121
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 18

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

Psychologist (Clinical)
5190 GOVERNOR DR, STE 108
SAN DIEGO, CA 92122
Marriage & Family Therapist
5190 GOVERNOR DR, SUITE #104
SAN DIEGO, CA 92122
Psychologist (Psychoanalysis)
5190 GOVERNOR DR, STE 102
SAN DIEGO, CA 92122
Physical Therapist
5190 GOVERNOR DR, SUITE 107
SAN DIEGO, CA 92122
Dentist (Oral and Maxillofacial Pathology)
5190 GOVERNOR DR, SUITE 106
SAN DIEGO, CA 92122
Marriage & Family Therapist
5190 GOVERNOR DR, SUITE 104
SAN DIEGO, CA 92122
Psychologist (Clinical)
5190 GOVERNOR DR, SUITE 101
SAN DIEGO, CA 92122
Marriage & Family Therapist
5190 GOVERNOR DR, SUITE 104
SAN DIEGO, CA 92122

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 Gordon M Rick's NPI number?

The NPI number for Gordon M Rick is 1063683357. It was assigned to this organization in the NPPES registry on March 14, 2008. The provider is doing business as Scripps Oral Pathology Service.

Where is Gordon M Rick located?

Gordon M Rick is located at 5190 Governor Dr Suite 106, San Diego, CA 92122. The listed phone number is (858) 784-0600.

What is Gordon M Rick's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Gordon M Rick hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D0643007) is associated with this NPI, valid through July 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gordon M Rick was last updated on June 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.