SYCUAN TRIBAL GOVERNMENT (NPI# 1164553053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164553053 |
| Entity Type | Organization |
| Organization Name | SYCUAN TRIBAL GOVERNMENT |
| Other Organization Name | SYCUAN MEDICAL DENTAL PHARMACY |
| Practice Address |
5442 Dehesa Rd El Cajon CA 92019-1816 |
| Practice Telephone | 6194453518 |
| Practice Fax Number | 6194455814 |
| Mailing Telephone | 6194453518 |
| Mailing Fax Number | 6194455814 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2017-04-06 |
| Authorized Official Name | SAL FALCO (CONTROLLER AND CEO) |
| Authorized Official Telephone | 6194450707 |
| Authorized Official Credential | BS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHE39873 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2094469 | 01 |
| Other Name | Type Code |
|---|---|
| SYCUAN MEDICAL DENTAL PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043218191 | Sycuan Tribal Government | Ambulance | 5449 Sycuan Rd, El Cajon, CA 92019-1821 | 2005-07-12 |
| 1427197078 | Sycuan Tribal Government | Clinic/Center | 5442 Sycuan Rd, El Cajon, CA 92019-1816 | 2007-02-06 |
| 1629056999 | Sycuan Tribal Government | Clinic/Center | 5442 Sycuan Rd, El Cajon, CA 92019-1816 | 2006-01-05 |
| Street Address |
5442 DEHESA RD |
| City | EL CAJON |
| State | CA |
| Zip Code | 92019-1816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497299747 | Vanessa Salem | Occupational Therapy Assistant | 11368 Via Rancho San Diego Unit F, El Cajon, CA 92019 | 2016-12-06 |
| 1497103865 | Jocelyn De Jesus Tuason | Assisted Living Facility | 11945 Via Hacienda, El Cajon, CA 92019 | 2016-05-26 |
| 1508241340 | Dalia Jamma | Dentist | 2990 Jamacha Rd # 140, El Cajon, CA 92019 | 2015-07-22 |
| 1720477060 | Angela Marie Robertson | Registered Nurse | 208 Almyra Rd, El Cajon, CA 92019 | 2015-01-09 |
| 1730483785 | Christina Lynn Winter | Dentist | 183 S. First Street, El Cajon, CA 92019 | 2011-01-05 |
| 1649588005 | Anna Liza Celso Baston | Nurse Practitioner | 1465 E Lexington, Unit 10-c, El Cajon, CA 92019 | 2010-09-20 |
| 1194050997 | Cokey Powell | Psychologist | 2815 Steele Cajon Rd., El Cajon, CA 92019 | 2009-10-12 |
| 1871738039 | Volunteers In Medicine - San Diego, Inc. | Voluntary or Charitable | 1465 E Madison Avenue, El Cajon, CA 92019 | 2008-12-02 |
| 1568507168 | Dianna Lee Norman | Family Medicine | 165 S First Street, El Cajan, CA 92019 | 2007-02-21 |
| 1780746263 | Ebtissam H Korkis | Family Medicine | 1530 Jamacha Road, Unit E Unit F, El Cajon, CA 92019 | 2006-12-14 |
| Find all providers in zip 92019 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326578774 | La Maestra Family Clinic, Inc. | Pharmacy | 165 S 1st St Ste 1b, El Cajon, CA 92019-4795 | 2017-06-19 |
| 1487949319 | Entag Inc | Pharmacy | 1685 E Main St Ste 103, El Cajon, CA 92021-5225 | 2011-06-20 |
| 1063527216 | Pjn Pharmacies Inc | Pharmacy | 455 N Magnolia Ave, El Cajon, CA 92020-3606 | 2006-08-20 |
| 1558390732 | Danmat Corporation | Pharmacy | 505 N Mollison Ave # 101, El Cajon, CA 92021-6159 | 2006-07-01 |
| 1912942913 | Garfield Beach Cvs LLC | Pharmacy | 426 E Chase Ave, El Cajon, CA 92020-6409 | 2006-06-17 |
| 1467496737 | Garfield Beach Cvs LLC | Pharmacy | 2760 Fletcher Pkwy, El Cajon, CA 92020-2110 | 2006-06-16 |
| 1821619271 | Dib Pharmaceutical Inc | Pharmacy | 528 E Main St, El Cajon, CA 92020-4008 | 2020-04-27 |
| 1497393540 | Family Pharmacy Center Inc. | Pharmacy | 220 W Main St Ste 102, El Cajon, CA 92020-3462 | 2019-12-19 |
| 1619343357 | Talami International Inc | Pharmacy | 505 N Mollison Ave, Suite 102, El Cajon, CA 92021-6159 | 2015-08-17 |
| 1083786867 | Entag Inc | Pharmacy | 1685 E Main St, Ste 101, El Cajon, CA 92021-5225 | 2006-11-15 |
| Find all providers in EL CAJON | ||||
Please comment or provide details below to improve the information on SYCUAN TRIBAL GOVERNMENT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.