SCRIPPS MERCY SURGERY PAVILION
NPI 1972668317
Clinic/Center - Ambulatory Surgical in San Diego, CA

NPI Status: Active since December 26, 2006

Contact Information

550 WASHINGTON ST
SUITE 101
SAN DIEGO, CA
ZIP 92103
Phone: (619) 686-3434
Fax: (619) 686-3618

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 05D1028357
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 08-22-2026

About SCRIPPS MERCY SURGERY PAVILION

This page provides the complete NPI Profile along with additional information for Scripps Mercy Surgery Pavilion, a provider established in San Diego, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1972668317 assigned on December 2006. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Scripps Mercy Surgery Pavilion. The authorized official of this NPI record is Mr. Steven Michael Green (Executive Director)

NPI
1972668317
Provider Legal Name
SCRIPPS MERCY AMBULATORY SURGERY CENTER, LP
Other Organization Name
SCRIPPS MERCY SURGERY PAVILION
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
550 WASHINGTON ST SUITE 101 SAN DIEGO, CA 92103
Location Phone
(619) 686-3434
Location Fax
(619) 686-3618
Mailing Address
550 WASHINGTON ST SUITE 101 SAN DIEGO, CA 92103
Mailing Phone
(619) 686-3434
Mailing Fax
(619) 686-3618
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-26-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License State
CA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. STEVEN MICHAEL GREEN

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(619) 686-3434

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
SUR01670FMEDICAID (05)CA 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Biopsy or removal of deep lymph nodes of underarm

A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.

This service was performed 20 times for 19 patients

Complex removal of cataract with insertion of prosthetic lens

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

This service was performed 38 times for 36 patients

Crushing of stone of ureter with insertion of stent using an endoscope

This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.

This service was performed 16 times for 15 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

This service was performed 38 times for 19 patients

Dexamethasone, lacrimal ophthalmic insert, 0.1 mg

Dexamethasone, lacrimal ophthalmic insert, 0.1 mg is a tiny device inserted into your tear duct. It releases a steroid, dexamethasone, to reduce inflammation and discomfort in your eye. It's often used for conditions like dry eye or following eye surgery.

This service was performed 240 times for 50 patients

Dilation of fluid outflow drainage within eye

Dilation to improve eye fluid flow is a process where eye drops are used to widen or dilate your pupils. This allows more fluid to flow out of the eye, reducing pressure and helping to prevent or treat conditions like glaucoma.

This service was performed 21 times for 15 patients

Extensive repair of turning-outward eyelid defect

This procedure corrects an eyelid defect where the eyelid turns outward, exposing the eye. The extensive repair involves surgical techniques to reshape the eyelid and ensure it functions properly. This helps protect the eye and improve comfort.

This service was performed 39 times for 22 patients

Imaging guidance for procedure, 60 minutes or less

Imaging guidance is a procedure where real-time images are used to direct medical tools during a treatment. This technique helps to improve accuracy and safety. The procedure typically lasts 60 minutes or less.

This service was performed 17 times for 14 patients

Imaging of urinary tract following injection of a contrast agent

This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.

This service was performed 16 times for 12 patients

Incision of tendon covering of finger

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

This service was performed 20 times for 11 patients

Partial removal of breast

A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.

This service was performed 25 times for 22 patients

Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin

This procedure involves removing a small portion of bone from your lower spine. The goal is to relieve pressure on your nerve tissue, improving comfort and mobility. It is done through the skin using imaging technology to ensure precision and safety.

This service was performed 16 times for 15 patients

Removal of cataract with insertion of prosthetic lens

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

This service was performed 403 times for 299 patients

Removal of excessive skin and fat of upper eyelid

This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.

This service was performed 50 times for 25 patients

Removal of recurring cataract in lens capsule using a laser

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

This service was performed 49 times for 45 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D1028357
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
August 23, 2024
Certificate Expiration Date
August 22, 2026
Laboratory Director
BRANDON A. VAN NOORD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Scripps Mercy Surgery Pavilion to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1972668317, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
2
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
6
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
3
Unchanged
Pos 9
1
Doubled → 2
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 6 → 12 → 3 8 → 16 → 7 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 4 + 2 + 1 + 2 + 6 + 1 + 6 + 3 + 2 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1972668317.

Other Providers at the Same Location


The following 17 providers are registered at the same or a nearby location.

Internal Medicine
550 WASHINGTON ST, STE # 601
SAN DIEGO, CA 92103
Pediatrics
550 WASHINGTON ST, SUITE 300
SAN DIEGO, CA 92103
Pediatrics
550 WASHINGTON ST, STE 300
SAN DIEGO, CA 92103
Pediatrics
550 WASHINGTON ST, SUITE 300
SAN DIEGO, CA 92103
Pediatrics
550 WASHINGTON ST, SUITE 300
SAN DIEGO, CA 92103
Pediatrics
550 WASHINGTON ST, SUITE 300
SAN DIEGO, CA 92103
Physician Assistant
550 WASHINGTON ST
SAN DIEGO, CA 92103
Pediatrics
550 WASHINGTON ST, STE 300
SAN DIEGO, CA 92103
Nurse Practitioner (Community Health)
550 WASHINGTON ST, SUITE 601
SAN DIEGO, CA 92103
Surgery
550 WASHINGTON ST, SUITE 821
SAN DIEGO, CA 92103
Preventive Medicine (Occupational Medicine)
550 WASHINGTON ST, STE # 601
SAN DIEGO, CA 92103
Health Maintenance Organization
550 WASHINGTON ST, STE 300
SAN DIEGO, CA 92103
Colon & Rectal Surgery
550 WASHINGTON ST, SUITE 821
SAN DIEGO, CA 92103
Colon & Rectal Surgery
550 WASHINGTON ST, SUITE 821
SAN DIEGO, CA 92103
Internal Medicine
550 WASHINGTON ST, SUITE 423
SAN DIEGO, CA 92103
Marriage & Family Therapist
550 WASHINGTON ST, STE 300
SAN DIEGO, CA 92103
Pediatrics (Pediatric Endocrinology)
550 WASHINGTON ST, STE #300
SAN DIEGO, CA 92103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972668317, enumerated as an "organization" on December 26, 2006.

The provider is located at 550 WASHINGTON ST SUITE 101 SAN DIEGO, CA 92103 and the phone number is (619) 686-3434.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.