PALOMAR HEIGHTS CARE CENTER, LLC (NPI# 1255337440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255337440 |
| Entity Type | Organization |
| Organization Name | PALOMAR HEIGHTS CARE CENTER, LLC |
| Practice Address |
1260 E Ohio Ave Escondido CA 92027-3054 |
| Mailing Address |
1506 S Glendale Ave Glendale CA 91205-3316 |
| Practice Telephone | 7607461100 |
| Practice Fax Number | 7607461201 |
| Mailing Telephone | 8182476200 |
| Mailing Fax Number | 8182477129 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2016-04-11 |
| Authorized Official Name | MR. FERNAN PERDRAJA (FINANCIAL CONTROLLER) |
| Authorized Official Telephone | 8182476200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 080000060 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CLIA ID NUMBER | 05D0670999 | 01 |
| CA | LTC555764G | 05 |
| Street Address |
1260 E OHIO AVE |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92027-3054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093196925 | California Emergency Physicians Medical Group A Professional Corp | Internal Medicine | 1260 E Ohio Ave, Escondido, CA 92027-3054 | 2015-06-16 |
| 1316336050 | Ria Olaes | Occupational Therapy Assistant | 1260 E Ohio Ave, Escondido, CA 92027-3054 | 2015-01-19 |
| 1851789689 | Lisa Carole Hooten | Physical Therapy Assistant | 1260 E Ohio Ave, Escondido, CA 92027-3054 | 2015-01-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912404179 | Shaunntanel Lund | Midwife | 16625 New Moon Lane, Escondido, CA 92027 | 2018-04-12 |
| 1457871766 | Stephen Martinez | Physical Therapy Assistant | 466 Devonshire Glen, Escondido, CA 92027 | 2017-06-27 |
| 1407227184 | Fletcher Carson | Military Health Care Provider | 719 Erica Street, Escondido, CA 92027 | 2015-10-07 |
| 1336413426 | Nadir T. Khuri | General Practice | 3284 White Hawk Rd., Escondido, CA 92027 | 2012-03-07 |
| 1598914624 | Maria Graciela Herrera | Case Manager/Care Coordinator | 463 N Midway, Ste 200, Escondido, CA 92027 | 2008-09-12 |
| 1891850913 | Anna Kansky | Dentist | 1711 E Valley Pkwy, Millennium Dental, Escondido, CA 92027 | 2006-12-27 |
| 1629164322 | County of San Diego | Exclusive Provider Organization | 420 North Falconer Road, Escondido, CA 92027 | 2006-10-04 |
| 1619968005 | Kaufman Physical Therapy Inc | Physical Therapist | 1318 Mountain Park Place, Escondido, CA 92027 | 2005-11-03 |
| 1336670645 | Ashley Ingram | Dentist | 430 N Rose St, Escondido, CA 92027 | 2017-03-27 |
| 1487899233 | Lindsley Marie Shaw | Case Manager/Care Coordinator | 463 N Midway, Escondido, CA 92027 | 2008-12-09 |
| Find all providers in zip 92027 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174074793 | California Emergency Physicians Medical Group, A Professional Corp | Skilled Nursing Facility | 710 W 13th Ave, Escondido, CA 92025-5511 | 2016-10-19 |
| 1225400922 | Kayla Pascual | Skilled Nursing Facility | 404 W Lincoln Ave, Unit 2, Escondido, CA 92026-3734 | 2015-10-21 |
| 1437520400 | Meadowbrook Village Christian Retirement Community | Skilled Nursing Facility | 100 Holland Gln, Escondido, CA 92026-1354 | 2015-10-15 |
| 1437296217 | Caremeridian, LLC | Skilled Nursing Facility | 2960 Bernardo Ave, Escondido, CA 92029-6610 | 2007-01-31 |
| 1194821736 | Lvdn Ltd. | Skilled Nursing Facility | 1335 Las Villas Way, Escondido, CA 92026-1921 | 2006-09-14 |
| 1386681286 | Escondido Medical Investors Limited Partnership | Skilled Nursing Facility | 1980 Felicita Rd, Escondido, CA 92025-5922 | 2006-05-31 |
| 1154396919 | Redwood Senior Homes and Services | Skilled Nursing Facility | 710 W 13th Avenue, Escondido, CA 92025-5511 | 2006-02-22 |
| 1659369262 | Covenant Care California, LLC | Skilled Nursing Facility | 1025 West 2nd Avenue, Escondido, CA 92025-3839 | 2005-10-07 |
| 1861491490 | West Escondido Healthcare LLC | Skilled Nursing Facility | 201 North Fig Street, Escondido, CA 92025-3416 | 2005-07-15 |
| 1588660765 | Mek Escondido, LLC | Skilled Nursing Facility | 421 E Mission Ave, Escondido, CA 92025-1909 | 2005-06-22 |
| Find all providers in ESCONDIDO | ||||
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| 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.