FALLBROOK HOSPITAL DISTRICT (NPI# 1447222674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447222674 |
| Entity Type | Organization |
| Organization Name | FALLBROOK HOSPITAL DISTRICT |
| Other Organization Name | FALLBROOK HOSPITAL |
| Practice Address |
624 E Elder St Fallbrook CA 92028-3004 |
| Practice Telephone | 7607281191 |
| Practice Fax Number | 7607280683 |
| Mailing Telephone | 7607281191 |
| Mailing Fax Number | 7607281875 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2014-05-02 |
| Authorized Official Name | STEPHEN J ABBOTT (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 7607319187 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 080000426 | CA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZT40435F | 05 | |
| BCBS | ZZZC3704Z | 01 | |
| AARP | 050435 | 01 |
| Other Name | Type Code |
|---|---|
| Fallbrook Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689646820 | Fallbrook Hospital District | Skilled Nursing Facility | 624 E Elder St, Fallbrook, CA 92028-3004 | 2006-02-02 |
| 1467449066 | Fallbrook Hospital District | Hospice Care, Community Based | 624 E Elder St, Fallbrook, CA 92028-3004 | 2005-09-29 |
| 1205822988 | Fallbrook Hospital District | Home Health | 624 E Elder St, Fallbrook, CA 92028-3004 | 2005-09-27 |
| Street Address |
624 E ELDER ST |
| City | FALLBROOK |
| State | CA |
| Zip Code | 92028-3004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457343832 | Jonathan Duff Stone | Pharmacist | 624 E Elder St, Fallbrook, CA 92028-3004 | 2005-08-22 |
| 1356950513 | Cameron Cardona | Licensed Vocational Nurse | 624 E Elder St, Fallbrook, CA 92028-3004 | 2020-07-23 |
| 1639738297 | Crestwood Behavioral Health, Inc. | Intermediate Care Facility, Mental Illness | 624 E Elder St, Fallbrook, CA 92028-3004 | 2019-06-07 |
| 1427234673 | Fallbrook Hospital Corporation | Nurse Anesthetist, Certified Registered | 624 E Elder St, Fallbrook, CA 92028-3004 | 2008-01-18 |
| 1821278425 | Bryce A Morton M D Inc | Anesthesiology | 624 E Elder St, Fallbrook, CA 92028-3004 | 2007-11-12 |
| 1649492430 | Bryce A. Morton | Anesthesiology | 624 E Elder St, Fallbrook, CA 92028-3004 | 2007-05-03 |
| 1639134877 | Bruce T Gipe | Emergency Medicine | 624 E Elder St, Fallbrook, CA 92028-3004 | 2006-04-19 |
| 1780649848 | Adam Field | Emergency Medicine | 624 E Elder St, Fallbrook, CA 92028-3004 | 2006-04-19 |
| 1467417030 | Primary Critical Care Limited Partnership | Emergency Medicine | 624 E Elder St, Fallbrook, CA 92028-3004 | 2006-04-18 |
| 1689646820 | Fallbrook Hospital District | Skilled Nursing Facility | 624 E Elder St, Fallbrook, CA 92028-3004 | 2006-02-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396235727 | Mmr Dme | Durable Medical Equipment & Medical Supplies | 1116 S Main Ave, Fallbrook, CA 92028 | 2018-05-10 |
| 1245616119 | Brett Christian Wootton | General Acute Care Hospital | 325 Potter Street, Fallbrook, CA 92028 | 2015-08-03 |
| 1215375852 | Ashley Stein Araiza | Dentist | 304 N Orange Ave, Fallbrook, CA 92028 | 2013-06-05 |
| 1063794253 | Elizabeth Ann Nestor | Developmental Therapist | 4164 Lake Circle Dr, Fallbrook, CA 92028 | 2011-09-13 |
| 1639460173 | Narciso Hernandez | Case Manager/Care Coordinator | 120 W Hawthone, Fallbrook, CA 92028 | 2011-05-02 |
| 1699961755 | Susana Bowen | Registered Nurse | 628 East Elder, Fallbrook Hospital, Fallbrook, CA 92028 | 2007-09-21 |
| 1912190869 | Helena Holmes Morrison | Social Worker | 2068a E. Mission Rd., Fallbrook, CA 92028 | 2007-08-23 |
| 1831311059 | Eric J Ramos, A Proffesional Corp | Optometrist | 645 E. Elder St. Ste D, Fallbrook, CA 92028 | 2007-05-03 |
| 1578617551 | Gregory Dean Montague | Dentist | 304 East Mission Road, Suite C, Fallbrook, CA 92028 | 2007-01-23 |
| 1629120944 | Michele H Germain | Social Worker | 577 E Elder, Suite F, Fallbrook, CA 92028 | 2007-01-17 |
| Find all providers in zip 92028 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245616119 | Brett Christian Wootton | General Acute Care Hospital | 325 Potter Street, Fallbrook, CA 92028 | 2015-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763224 | Mola Medical Practice Inc | General Acute Care Hospital | 6906 Treasure Trl, Los Angeles, CA 90068-1838 | 2020-08-31 |
| 1497376966 | Barton Ambulatory Clinics | General Acute Care Hospital | 2170 South Ave Ste B, South Lake Tahoe, CA 96150-7026 | 2020-05-06 |
| 1346723194 | Eisenhower Medical Center | General Acute Care Hospital | 1401 North Palm Canyon Drive, Suite #202, Palm Springs, CA 92262 | 2018-09-07 |
| 1699282285 | Kern County Hospital Authority | General Acute Care Hospital | 6001 Truxtun Ave Ste 210, Bakersfield, CA 93309-0662 | 2018-01-04 |
| 1598272577 | Eisenhower Medical Center | General Acute Care Hospital | 74020 Alessandro Drive, Suite B, Palm Desert, CA 92260 | 2017-12-29 |
| 1720597511 | Children's Recovery Center 1, LLC | General Acute Care Hospital | 3777 S Bascom Ave, Campbell, CA 95008-7320 | 2017-09-25 |
| 1336668284 | Kern County Hospital Authority | General Acute Care Hospital | 2920 F St Ste B1, Bakersfield, CA 93301-1829 | 2017-09-12 |
| 1821524315 | Azadeh Salek | General Acute Care Hospital | 308 Paseo De La Playa Apt 4, Redondo Beach, CA 90277-6251 | 2017-05-03 |
| 1790210359 | Va Hospital Mather | General Acute Care Hospital | 3131 Sparrow Dr, Sacramento, CA 95834-2639 | 2017-04-20 |
| 1881127041 | Chad William Downing | General Acute Care Hospital | 28003 Via Del Agua, Laguna Niguel, CA 92677-7359 | 2017-04-05 |
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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.