GROSSMONT HOSPITAL CORPORATION (NPI# 1932485307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932485307 |
Entity Type | Organization |
Organization Name | GROSSMONT HOSPITAL CORPORATION |
Other Organization Name | SHARP SPECIALTY PHARMACY SERVICES |
Practice Address |
3558 Ruffin Rd San Diego CA 92123-2596 |
Mailing Address |
3558 Ruffin Rd Ste 101 San Diego CA 92123-2596 |
Practice Telephone | 8586275600 |
Practice Fax Number | 8586275610 |
Mailing Telephone | 8586275600 |
Mailing Fax Number | 8586275610 |
Enumeration Date | 2011-10-28 |
Last Update Date | 2019-02-27 |
Authorized Official Name | SCOTT EVANS (CEO) |
Authorized Official Telephone | 6197404648 |
Is Organization Subpart | Y |
Parent Organization Name | GROSSMONT HOSPITAL CORPORATION |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
PHY43865 | CA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | NCPDP PROVIDER IDENTIFICATION NUMBER | 5617583 | 01 |
Other Name | Type Code |
---|---|
Sharp Specialty Pharmacy Services | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801256789 | Grossmont Hospital Corporation | Pharmacy | 5555 Grossmont Center Dr # A217, La Mesa, CA 91942-3019 | 2016-03-04 |
1467810952 | Grossmont Hospital Corporation | Hospice Care, Community Based | 3850 Valley Vista Rd, Bonita, CA 91902-1206 | 2016-01-29 |
1447409081 | Grossmont Hospital Corporation | Hospice, Inpatient | 5788 Lyden Way, San Diego, CA 92120-4544 | 2008-09-18 |
1134187941 | Grossmont Hospital Corporation | Hospice, Inpatient | 9472 Loren Dr, La Mesa, CA 91942-3907 | 2006-05-02 |
1457330300 | Grossmont Hospital Corporation | Durable Medical Equipment & Medical Supplies | 3558 Ruffin Rd Ste 100, San Diego, CA 92123-2596 | 2006-01-10 |
1336338805 | Grossmont Hospital Corporation | General Acute Care Hospital | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2007-10-19 |
1427037308 | Grossmont Hospital Corporation | Hospice Care, Community Based | 8881 Fletcher Pkwy, Suite 336, La Mesa, CA 91942-3134 | 2006-01-10 |
1043293871 | Grossmont Hospital Corporation | Rehabilitation Unit | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2005-11-25 |
1417930249 | Grossmont Hospital Corporation | Skilled Nursing Facility | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2005-11-25 |
1568445419 | Grossmont Hospital Corporation | Psychiatric Unit | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2005-11-23 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | GROSSMONT HOSPITAL CORPORATION | 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3019 |
Street Address |
3558 RUFFIN RD |
City | SAN DIEGO |
State | CA |
Zip Code | 92123-2596 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013142926 | Angelica Picado | Pharmacist | 3558 Ruffin Rd, San Diego, CA 92123-1489 | 2009-05-20 |
1124546205 | Mark Alan Campbell | Pharmacist | 3558 Ruffin Rd, San Diego, CA 92123-2596 | 2017-09-08 |
1831617091 | Patricia Warner | Pharmacist | 3558 Ruffin Rd, San Diego, CA 92123-2596 | 2017-09-07 |
1568826535 | Tina Conlee | Pharmacist | 3558 Ruffin Rd, Suite 101, San Diego, CA 92123-2596 | 2016-04-06 |
1649637265 | Gregory Ambrose | Pharmacist | 3558 Ruffin Rd, Suite 101, San Diego, CA 92123-2596 | 2016-01-27 |
1508223124 | Ty Rick | Pharmacist | 3558 Ruffin Rd, Suite 101, San Diego, CA 92123-2596 | 2016-01-27 |
1275990830 | Catherine Gelfgren | Pharmacist | 3558 Ruffin Rd, Suite 101, San Diego, CA 92123-2596 | 2016-01-26 |
1801187604 | Bruce Dale Schmidt | Pharmacist | 3558 Ruffin Rd, San Diego, CA 92123-2596 | 2011-04-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
Find all providers in zip 92123 |
Taxonomy Code | 3336H0001X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Home Infusion Therapy Pharmacy |
Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. |
Notes: Source: National Home Infusion Association [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699853713 | Rady Children's Health Services-san Diego | Pharmacy | 8291 Aero Pl, Suite 130, San Diego, CA 92123-2040 | 2006-11-02 |
1255387718 | Accentcare Home Health of California, Inc. | Pharmacy | 5050 Murphy Canyon Rd Ste 200, San Diego, CA 92123-4399 | 2006-05-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447897921 | Pharmacy Home Infusion Network | Pharmacy | 900 W Glenoaks Blvd Ste G, Glendale, CA 91202-2664 | 2019-12-04 |
1073085007 | Kaiser Foundation Health Plan Inc | Pharmacy | 615 W Avenue L Trailer, Lancaster, CA 93534-7211 | 2019-01-02 |
1386155752 | Toci Health Inc | Pharmacy | 8851 Watson St Apt B, Cypress, CA 90630-2269 | 2017-10-12 |
1154875466 | Medquick Prescription Shoppe Inc | Pharmacy | 923 Cole Ave, Los Angeles, CA 90038-2610 | 2016-08-04 |
1841665973 | Biomed California, Inc | Pharmacy | 721 S Glasgow Ave., Suite C, Inglewood, CA 90301-3016 | 2015-12-01 |
1790158756 | Soleo Health Inc. | Pharmacy | 1324 W. Winton Ave, Hayward, CA 94545-1408 | 2015-11-12 |
1982013462 | Medrx Infusion Clinical Pharmacy, LLC | Pharmacy | 415 N Oak St, Inglewood, CA 90302-3314 | 2014-08-08 |
1669884722 | Dm Clinical Collaborations | Pharmacy | 6108 San Fernando Rd, Glendale, CA 91201-2240 | 2014-05-23 |
1609209352 | Santa Barbara Specialty Pharmacy LLC | Pharmacy | 4690 Carpinteria Ave Ste B, Carpinteria, CA 93013-1875 | 2013-08-16 |
1265773501 | Saint Paul Enterprises, Inc. | Pharmacy | 1010 E Arrow Hwy, Covina, CA 91724-1020 | 2013-03-12 |
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.