MATDAN LJ INC (NPI# 1962730044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962730044 |
| Entity Type | Organization |
| Organization Name | MATDAN LJ INC |
| Other Organization Name | MERCY CARE PHARMACY |
| Practice Address |
488 E Valley Pkwy Ste 101 Escondido CA 92025-3363 |
| Practice Telephone | 7602940014 |
| Practice Fax Number | 7602940066 |
| Mailing Telephone | 7602940014 |
| Mailing Fax Number | 7602940066 |
| Enumeration Date | 2009-11-30 |
| Last Update Date | 2017-04-20 |
| Authorized Official Name | BASSAM MASSAAD (PIC) |
| Authorized Official Telephone | 8583363624 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
51469 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2141202 | 01 |
| Other Name | Type Code |
|---|---|
| MERCY CARE PHARMACY | Doing Business As Name - Organization |
| Street Address |
488 E VALLEY PKWY STE 101 |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92025-3363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679554372 | Branislav Cizmar | Obstetrics & Gynecology | 488 E Valley Pkwy, Suite 311, Escondido, CA 92025-3363 | 2005-11-09 |
| 1912433004 | Danielle R. Davidek | Nurse Practitioner | 488 E Valley Pkwy, Escondido, CA 92025-3363 | 2017-05-10 |
| 1215487624 | Edward Sall Dental Corporation | Dentist | 488 E Valley Pkwy, Suite 105, Escondido, CA 92025-3363 | 2016-10-10 |
| 1366990897 | Sleep Data Holdings LLC | Durable Medical Equipment & Medical Supplies | 488 E Valley Pkwy, Suite 316, Escondido, CA 92025-3363 | 2016-09-13 |
| 1437499704 | Joseph Matthew Garvin | Registered Nurse | 488 E Valley Pkwy, Suite 211, Escondido, CA 92025-3363 | 2013-02-25 |
| 1285971820 | Arch Health Partners | Family Medicine | 488 E Valley Pkwy, Suite 211, Escondido, CA 92025-3363 | 2013-01-15 |
| 1548507858 | Caylie Valenta | Physician Assistant | 488 E Valley Pkwy, Suite 411, Escondido, CA 92025-3363 | 2013-01-07 |
| 1851650584 | Pegah Maryam Mashayekhi | Internal Medicine | 488 E Valley Pkwy, Suite 211, Escondido, CA 92025-3363 | 2012-05-15 |
| 1467762161 | Elizabeth Nguyen Cao | Obstetrics & Gynecology | 488 E Valley Pkwy, Suite 107, Escondido, CA 92025-3363 | 2010-10-14 |
| 1609195122 | Scripps Health | Clinic/Center | 488 E Valley Pkwy, Ste 411, Escondido, CA 92025-3363 | 2010-05-24 |
| 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 | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); 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 |
|---|---|---|---|---|
| 1346705175 | Paragon Pharmacy Services Inc | Pharmacy | 1111 E Washington Ave Ste C, Escondido, CA 92025-2226 | 2019-02-06 |
| 1275835332 | Felicita Pharmacy | Pharmacy | 625 W Citracado Pkwy Ste 106, Escondido, CA 92025-6428 | 2010-11-23 |
| 1619912417 | Garfield Beach Cvs LLC | Pharmacy | 2427 E Valley Pkwy, Escondido, CA 92027-2932 | 2006-06-17 |
| 1477597748 | Garfield Beach Cvs LLC | Pharmacy | 1655 S Centre City Pkwy, Escondido, CA 92025-6068 | 2006-06-16 |
| 1245649904 | Palomar Health | Pharmacy | 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 2014-08-07 |
| 1609201706 | Escondido Pharmacy and Dme Inc | Pharmacy | 909 E Valley Pkwy, Escondido, CA 92025-3428 | 2013-09-08 |
| 1316011836 | C and A Medical Inc | Pharmacy | 488 E Valley Pkwy, Ste 101, Escondido, CA 92025-3363 | 2006-11-17 |
| 1427093327 | Garfield Beach Cvs LLC | Pharmacy | 318 W El Norte Pkwy, Escondido, CA 92026-1925 | 2006-06-17 |
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| 1750981874 | Capsule San Francisco LLC | Pharmacy | 475 University Ave, Palo Alto, CA 94301-1814 | 2020-10-28 |
| 1447850623 | Sterling Hatteras LLC | Pharmacy | 916 E Cypress Ave Ste 300, Redding, CA 96002-1038 | 2020-10-28 |
| 1922608454 | Vanessa Ann Marie Rita Pitts | Pharmacy | 26365 Buccaneer Ln, Helendale, CA 92342-7739 | 2020-10-26 |
| 1205435971 | Rinaldi Pharmacy, Inc. | Pharmacy | 11237 Tampa Ave, Porter Ranch, CA 91326-1610 | 2020-10-22 |
| 1467051300 | San Dimas Wellness Pharmacy | Pharmacy | 830 W Arrow Hwy Ste 830b, San Dimas, CA 91773-2498 | 2020-10-21 |
| 1225636889 | Med-plus Pharmacy Inc | Pharmacy | 335 Lindbergh Ave, Livermore, CA 94551-9291 | 2020-10-15 |
| 1689271066 | Innova Pharmacy Iv | Pharmacy | 4815 Watt Ave Ste B101, North Highlands, CA 95660-5108 | 2020-10-08 |
| 1114524683 | Bear Valley Pharmacy | Pharmacy | 17003 Bear Valley Rd Ste B, Hesperia, CA 92345-1420 | 2020-10-07 |
| 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.