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SCRIPPS RANCH MEDICAL CLINIC
NPI 1285702654
Family Medicine in San Diego, CA

Active since December 01, 2006
9999 MIRA MESA BLVD STE 104, SAN DIEGO, CA 92131(858) 271-6962(858) 271-5327 Get Directions Write a Review

NPPES record last updated: November 30, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Scripps Ranch Medical Clinic NPPES

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

SCRIPPS RANCH MEDICAL CLINIC (NPI 1285702654) is a healthcare organization registered as a family medicine in San Diego, California and active in the NPI registry since December 2006. The organization lists Jack Wasserman, Gen Ptr/medical Director, as its authorized official.

NPPES Registry Identity

NPI1285702654
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSCRIPPS RANCH MEDICAL CLINIC
Location Address9999 MIRA MESA BLVD STE 104San Diego, CA 92131-1006
Mailing Address9999 Mira Mesa Blvd Ste 104San Diego, CA 92131-1006 · (858) 271-6962 · Fax (858) 271-5327
Phone(858) 271-6962
Fax(858) 271-5327
Organization SubpartNo
Authorized OfficialJack WassermanGen Ptr/medical Director · (858) 271-6962
Enumeration DateDecember 1, 2006
Last NPPES UpdateNovember 30, 2010
✔ NPI 1285702654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
9999 MIRA MESA BLVD STE 104, San Diego, CA 92131
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Other Identifiers 2

Medicare PINW11029CA
OtherZZZ64795ZCA · Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Scripps Ranch Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Scripps Ranch Medical Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Adrienne Ertl, M.D.
Family Practice
NPI 1427126895
9999 MIRA MESA BLVD STE 104
San Diego, CA 92131
(858) 271-6962
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Ranch Medical Clinic's NPI number?

The NPI number for Scripps Ranch Medical Clinic is 1285702654. It was assigned to this organization in the NPPES registry on December 1, 2006.

Where is Scripps Ranch Medical Clinic located?

Scripps Ranch Medical Clinic is located at 9999 Mira Mesa Blvd Ste 104, San Diego, CA 92131. The listed phone number is (858) 271-6962.

What is Scripps Ranch Medical Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Scripps Ranch Medical Clinic enrolled in Medicare?

Yes. Scripps Ranch Medical Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Scripps Ranch Medical Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Scripps Ranch Medical Clinic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Scripps Ranch Medical Clinic was last updated on November 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.