PALOMAR HEALTH (NPI# 1285752063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285752063 |
| Entity Type | Organization |
| Organization Name | PALOMAR HEALTH |
| Other Organization Name | PALOMAR HEALTH PHARMACY SERVICES - PMC DOWNTOWN ESCONDIDO |
| Practice Address |
555 East Valley Parkway Escondido CA 92025 |
| Mailing Address |
456 East Grand Avenue Escondido CA 92025 |
| Practice Telephone | 7607393000 |
| Practice Fax Number | 7604807966 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2019-09-23 |
| Authorized Official Name | DIANE HANSEN (PRESIDENT AND CEO) |
| Authorized Official Telephone | 7607406385 |
| Is Organization Subpart | Y |
| Parent Organization Name | PALOMAR HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282N00000X | General Acute Care Hospital | HPE34951 | CA | Hospitals |
| N | 282N00000X | General Acute Care Hospital | Hospitals | ||
| N | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
Suppliers | ||
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
HPE34951 | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NAPB | 0501634 | 01 |
| CA | STATE PHARMACY LICENSE | HPE34951 | 01 |
| CA | DEA LICENSE | AP1032399 | 01 |
| Other Name | Type Code |
|---|---|
| Palomar Health Pharmacy Services | Doing Business As Name - Organization |
| Palomar Health Pharmacy Services - PMC Downtown Escondido | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386134864 | Palomar Health | Public Health or Welfare | 121 N Fig St, Escondido, CA 92025-3414 | 2018-05-10 |
| 1619947090 | Palomar Health | Durable Medical Equipment & Medical Supplies | 15615 Pomerado Rd, Poway, CA 92064-2405 | 2006-01-26 |
| 1669442059 | Palomar Health | Psychiatric Unit | 15615 Pomerado Road, Poway, CA 92064 | 2006-01-26 |
| 1588634034 | Palomar Health | Rehabilitation Unit | 555 East Valley Parkway, Escondido, CA 92025 | 2006-01-26 |
| 1205806676 | Palomar Health | Home Health | 800 W Valley Pkwy Ste 200, Escondido, CA 92025-2557 | 2006-01-26 |
| 1760004766 | Palomar Health | Rehabilitation Unit | 15615 Pomerado Rd, Poway, CA 92064-2405 | 2020-05-12 |
| 1093268369 | Palomar Health | Clinic/Center | 1571 San Elijo Rd S, San Marcos, CA 92078-2044 | 2016-08-03 |
| 1437602703 | Palomar Health | Clinic/Center | 1509 E Valley Pkwy, Escondido, CA 92027-2315 | 2016-08-03 |
| 1700239779 | Palomar Health | Psychiatric Hospital | 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 2016-07-14 |
| 1083065882 | Palomar Health | Clinic/Center | 700 W El Norte Pkwy, Escondido, CA 92026-3923 | 2016-06-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PALOMAR HEALTH DEVELOPMENT, INCORPORATED | 456 E Grand Ave, Escondido, CA 92025-3319 |
| System for Award Management (SAM) Entities | PALOMAR HEALTH FOUNDATION | 960 Canterbury Pl Ste 200, Escondido, CA 92025-3869 |
| Street Address |
555 EAST VALLEY PARKWAY |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588634034 | Palomar Health | Rehabilitation Unit | 555 East Valley Parkway, Escondido, CA 92025 | 2006-01-26 |
| 1699915009 | Anthony Van Phung | Anesthesiology | 555 East Valley Parkway, Escondido, CA 92025 | 2009-02-25 |
| 1972690790 | Jerry Kolins | Pathology | 555 East Valley Parkway, Escondido, CA 92025 | 2006-10-05 |
| 1316033244 | Manuel Montilla Castillo | Pathology | 555 East Valley Parkway, Escondido, CA 92025 | 2006-10-05 |
| 1821184490 | Pamela Ong-veloso Danque | Pathology | 555 East Valley Parkway, Escondido, CA 92025 | 2006-10-04 |
| 1215023767 | Lachlan Macleay Jr. | Pathology | 555 East Valley Parkway, Escondido, CA 92025 | 2006-10-04 |
| 1720174410 | Blesilda Mario-singh | Pathology | 555 East Valley Parkway, Escondido, CA 92025 | 2006-10-04 |
| 1811081797 | Valley Pathology Medical Associates Inc | Pathology | 555 East Valley Parkway, Escondido, CA 92025 | 2006-10-03 |
| 1013001650 | William David Tench | Pathology | 555 East Valley Parkway, Escondido, CA 92025 | 2006-10-03 |
| 1477644417 | Anne S. Cooper | Advanced Practice Midwife | 555 East Valley Parkway, Labor and Delivery, Escondido, CA 92025 | 2006-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1801449640 | Jennifer Marsh | Marriage & Family Therapist | 403 N Escondido Blvd #533, Escondido, CA 92025 | 2019-07-21 |
| 1093281644 | Lucy Breen | Peer Specialist | 474 Weest Vermont Ave #104, Escondido, CA 92025 | 2018-10-22 |
| 1457834665 | Daniel & Max | Optometrist | 730 N Center City Parkway, Building A-1, Suite 101, Escondido, CA 92025 | 2018-09-13 |
| 1477033272 | Hyoshin Kwak | Acupuncturist | 106 S. Grape St, Suite 10, Escondido, CA 92025 | 2018-08-21 |
| 1467948877 | Irma P Garcia | Counselor | 337 West Mission Ave, Escondido, CA 92025 | 2018-07-09 |
| 1295235380 | Anna M. Rainville | Marriage & Family Therapist | 11701 San Pasqual Valley Rd, Escondido, CA 92025 | 2018-02-15 |
| 1689187049 | Monica Pino | Occupational Therapist | 469 E Grand Avenue, Escondido, CA 92025 | 2017-11-08 |
| 1427569581 | Mtk Primary Care Medical Group | Specialist | 1835a S Centre City Pkwy Ste 459, Escondido, CA 92025 | 2017-10-17 |
| 1619490349 | Elizabeth Sanchez Arvizu | Student in an Organized Health Care Education/Training Program | 490 N. Grape Stret, Escondido, CA 92025 | 2017-07-25 |
| Find all providers in zip 92025 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; 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 |
|---|---|---|---|---|
| 1457906745 | Corrections and Rehabilitation | Pharmacy | 5th and Western Ave, Module M, Room #104, Norco, CA 92860 | 2019-08-05 |
| 1982169694 | Vikki Lam | Pharmacy | 757 Westwood Plz # B-504j, Los Angeles, CA 90095-8358 | 2019-02-06 |
| 1760827414 | Cedars-sinai Medical Center | Pharmacy | 127 S San Vicente Blvd Ste 2403, Los Angeles, CA 90048-3311 | 2013-05-08 |
| 1508105354 | Sutter Central Valley Hospitals | Pharmacy | 1420 N. Tracy Blvd., Tracy, CA 95376 | 2013-02-13 |
| 1649576364 | Wade J Dahlberg Sr | Pharmacy | 2697 Lavery Ct Ste 7, Newbury Park, CA 91320-1587 | 2011-01-27 |
| 1871898304 | Corrections and Rehabilitation | Pharmacy | 5100 O'byrnes Ferry Road, Attn: Pharmacy, Jamestown, CA 95327 | 2011-01-13 |
| 1437469202 | Institutional Pharmacy Solutions LLC | Pharmacy | 6520 N Irwindale Ave Ste 228, Irwindale, CA 91702-2867 | 2010-10-14 |
| 1851593560 | Belville Enterprises Inc | Pharmacy | 10140 Barnes Canyon Rd, San Diego, CA 92121-2724 | 2007-06-04 |
| 1306057229 | Detention's Facility Pharmacy | Pharmacy | 8525 Gibbs Dr Ste 101, San Diego, CA 92123-1758 | 2007-05-24 |
| 1407992019 | San Joaquin County | Pharmacy | 7000 Michael Canlis Way, French Camp, CA 95231-9781 | 2007-01-30 |
| Find all providers with the same taxonomy | ||||
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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.