PALOMAR HEALTH (NPI# 1700239779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700239779 |
| Entity Type | Organization |
| Organization Name | PALOMAR HEALTH |
| Other Organization Name | CRISIS STABILIZATION UNIT |
| Practice Address |
2185 Citracado Pkwy Escondido CA 92029-4159 |
| Mailing Address |
456 E Grand Ave Escondido CA 92025-3319 |
| Practice Telephone | 7607392990 |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2020-07-02 |
| Authorized Official Name | CARLOS BOHORQUEZ (CFO) |
| Authorized Official Telephone | 7607406383 |
| Is Organization Subpart | Y |
| Parent Organization Name | PALOMAR HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 283Q00000X | Psychiatric Hospital | Hospitals | ||
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Crisis Stabilization Unit | 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 |
| 1083065882 | Palomar Health | Clinic/Center | 700 W El Norte Pkwy, Escondido, CA 92026-3923 | 2016-06-23 |
| 1245649904 | Palomar Health | Pharmacy | 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 2014-08-07 |
| 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 |
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| 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 | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245698331 | Behavioral Crisis Center-matni | Psychiatric Unit | 625 Citracado Pkwy, Suite 102, Escondido, CA 92025-6428 | 2016-02-03 |
| 1801923941 | Rady Children's Hospital-san Diego | Psychiatric Unit | 625 W Citracado Pkwy, Suite 102, Escondido, CA 92025-6479 | 2007-02-27 |
| 1831226828 | Rady Children's Hospital-san Diego | Psychiatric Unit | 625 W Citracado Pkwy, Out Patient Psychiatry, Escondido, CA 92025-6479 | 2007-02-27 |
| 1063482412 | Palomar Health | Psychiatric Unit | 555 E Valley Pkwy, Escondido, CA 92025-3048 | 2006-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740807643 | Pacific Health Group Inc. | Psychiatric Unit | 9120 Woodman Ave, Arleta, CA 91331-6405 | 2020-06-26 |
| 1720627979 | Ernest Markovich | Psychiatric Unit | 3235 N Hartman St, Orange, CA 92865-1216 | 2020-01-04 |
| 1316416670 | Psychiatric Excellence | Psychiatric Unit | 388 Market St Ste 1300, San Francisco, CA 94111-5316 | 2018-11-16 |
| 1982192514 | Veronica E Martinez | Psychiatric Unit | 9481 Hanford St, Ventura, CA 93004-0704 | 2018-04-30 |
| 1679008817 | Ucla Semel Institute | Psychiatric Unit | 615 6th St, Davis, CA 95616-3807 | 2017-04-25 |
| 1083152748 | Rady Childrens Hospital-san Diego | Psychiatric Unit | 4305 University Avenue, Suite 150, San Diego, CA 92105 | 2017-02-02 |
| 1871045385 | Molina Psychological Consultants | Psychiatric Unit | 18 Monrovia, Irvine, CA 92602-0925 | 2016-10-31 |
| 1457808073 | Susan Mora | Psychiatric Unit | 1239 Powell St, Apt 2, San Francisco, CA 94133-4874 | 2016-09-01 |
| 1306204342 | County of Santa Clara | Psychiatric Unit | 820 Enborg Court, San Jose, CA 95128 | 2016-02-05 |
| 1477931673 | Nigthingale Nurses | Psychiatric Unit | 350 N Magnolia St, Woodlake, CA 93286-1320 | 2015-05-08 |
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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.