PALOMAR HEALTH (NPI# 1457321317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457321317 |
| Entity Type | Organization |
| Organization Name | PALOMAR HEALTH |
| Other Organization Name | PALOMAR MEDICAL CENTER ESCONDIDO |
| Practice Address |
2185 Citracado Pkwy Escondido CA 92029-4159 |
| Mailing Address |
456 E Grand Ave Escondido CA 92025-3319 |
| Practice Telephone | 4422815000 |
| Enumeration Date | 2006-01-24 |
| 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 | Hospitals | ||
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| N | 273Y00000X | Rehabilitation Unit | CA | Hospital Units | |
| Y | 282N00000X | General Acute Care Hospital | 080000083 | CA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HSC30115F | 05 | |
| CA | ZZT30115F | 05 | |
| CA | ZZT40115F | 05 |
| Other Name | Type Code |
|---|---|
| Palomar Medical Center 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 |
2185 CITRACADO PKWY |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92029-4159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033197082 | Tariq M Dastagir | Internal Medicine | 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 2006-01-09 |
| 1801497284 | Kelly Rackham | Family Medicine | 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 2020-11-03 |
| 1770057325 | Ryan Michael Mccarthy | Physical Therapist | 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 2019-01-16 |
| 1679055057 | Jenna Emily Gilbert | Physician Assistant | 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 2018-09-03 |
| 1669962353 | Jacinda Nim | Pharmacist | 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 2018-05-17 |
| 1982194981 | Brandon Bailey | Pharmacist | 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 2018-05-15 |
| 1053817304 | Tamar Lietzow | Pharmacist | 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 2018-04-04 |
| 1710483094 | Karen Gonzales | Pharmacist | 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 2018-04-04 |
| 1679088678 | Zachary Porter Buchanan | Physical Therapist | 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 2017-12-12 |
| 1316456734 | Kimberly Rose Davis Md Inc Apmc | Clinic/Center | 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 2017-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669839254 | Tina Lynn Sutherland | Behavioral Analyst | 1045 East Pennsylvania Ave, Escondido, CA 92029 | 2016-01-27 |
| 1477923373 | Aurora D'elia-verrocchi | Physician Assistant | 2185 Citracado Parkway, Escandido, CA 92029 | 2015-10-05 |
| 1659647436 | North County Neurology Associates Medical Group | Psychiatry & Neurology | 1955 Citracado Pkwy Ste 102, Escondido, CA 92029 | 2012-03-27 |
| 1609188937 | Marvin Walter Levenson | Case Manager/Care Coordinator | 2227 Enterprise St, Escondido, CA 92029 | 2010-07-01 |
| 1003137258 | James H Nelson | Radiology | 3337 Avenida Hacienda, Escondido, CA 92029 | 2010-06-22 |
| 1265568620 | Junia P Wadia | Dentist | 1340 W Valley Pkwy, #205, Escondido, CA 92029 | 2007-02-27 |
| 1225186232 | Paul Brian Volpp | Radiology | 2125 Citricado Pkwy, #110, Dept of Radiation Oncology, Escondido, CA 92029 | 2007-01-08 |
| 1679620231 | Alan David Will | Optometrist | 1264-a Auto Pkwy, Escondido, CA 92029 | 2007-01-05 |
| 1891842530 | Ngoc Mong Hoang Nguyen | Optometrist | 1264 Auto Pkwy, Ste A, Escondido, CA 92029 | 2007-01-04 |
| 1073608089 | Margaret Mauleon Novicio | Dentist | 3440 Del Lago Blvd, Suite C, Escondido, CA 92029 | 2006-10-04 |
| Find all providers in zip 92029 | ||||
| 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 |
|---|---|---|---|---|
| 1013391036 | Vista Community Clinic | General Acute Care Hospital | 555 E Valley Pkwy, Escondido, CA 92025-3048 | 2015-07-20 |
| 1770725897 | Kourosh Khamooshian Md, PC | General Acute Care Hospital | 555 E Valley Pkwy, Escondido, CA 92025-3048 | 2009-04-03 |
| 1285752063 | Palomar Health | General Acute Care Hospital | 555 East Valley Parkway, Escondido, CA 92025 | 2007-03-27 |
| 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.