ASC - JEFFERSON – NPI #1417580028
Clinic/Center

ASC - JEFFERSON is an AHC clinic located in OCEANSIDE, CA. NPPES has assigned the NPI number 1417580028 to ASC - JEFFERSON on February 21, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ASC - JEFFERSON” is a dba name, the actual legal business name for this organization is SCRIPPS HEALTH. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was last updated on Aug 08, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ASC - JEFFERSON below.

NPI Profile for
SCRIPPS HEALTH

NPI Number
1417580028
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SCRIPPS HEALTH
Doing Business As (dba): ASC - JEFFERSON
Primary location
2205 VISTA WAY
OCEANSIDE, CA 92054-5661
Phone: (760) 704-5400 Fax:
Mailing address
10790 RANCHO BERNARDO RD
SAN DIEGO, CA 92127-5705
Phone: (760) 704-5400 Fax:
Organization Subpart
No
Authorized Official
BRETTE TANDE
CORPORATE SR. VICE PRESIDENT, CFO
Phone: (858) 678-7227
Updated
Certification Date
Aug 08, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.