SAN DIEGO HOSPICE & PALLIATIVE CARE CORPORATION (NPI# 1174526537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174526537 |
| Entity Type | Organization |
| Organization Name | SAN DIEGO HOSPICE & PALLIATIVE CARE CORPORATION |
| Practice Address |
4311 3rd Ave San Diego CA 92103-1407 |
| Practice Telephone | 6196881600 |
| Practice Fax Number | 6196880734 |
| Mailing Telephone | 6196881600 |
| Mailing Fax Number | 6196880734 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2011-11-29 |
| Authorized Official Name | MRS. KATHLEEN JONES (V.P. FINANCE/CFO) |
| Authorized Official Telephone | 6196881600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | 080000162 | CA | Agencies |
| Y | 251G00000X | Hospice Care, Community Based | 0080000516 | CA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HPC01511F | 05 | |
| CA | BLUE SHIELD OF CA | ZZZ84068Z | 01 |
| Street Address |
4311 3RD AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-1407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972801645 | Minke Winklerprins | Internal Medicine | 4311 3rd Ave, San Diego, CA 92103-1407 | 2011-03-04 |
| 1003110917 | Liane Fry | Marriage & Family Therapist | 4311 3rd Ave, San Diego, CA 92103-1407 | 2011-01-06 |
| 1598069148 | Teresa Ann Spinosa | Nurse Practitioner | 4311 3rd Ave, San Diego, CA 92103-1407 | 2010-12-22 |
| 1851601819 | Jennifer Stowe Kim | Nurse Practitioner | 4311 3rd Ave, San Diego, CA 92103-1407 | 2010-10-08 |
| 1588976914 | Maricela Linares | Pharmacy Technician | 4311 3rd Ave, San Diego, CA 92103-1407 | 2010-07-14 |
| 1356674204 | San Diego Hospice & The Institute of Palliative Medicine | Home Health | 4311 3rd Ave, San Diego, CA 92103-1407 | 2009-09-10 |
| 1871729962 | Susan K Bodtke | Family Medicine | 4311 3rd Ave, San Diego, CA 92103-1407 | 2009-06-03 |
| 1952536328 | San Diego Hospice | General Acute Care Hospital | 4311 3rd Ave, San Diego, CA 92103-1407 | 2009-05-28 |
| 1053552620 | Carrie Ann Nelson-vasquez | Family Medicine | 4311 3rd Ave, San Diego, CA 92103-1407 | 2009-03-11 |
| 1326215815 | Negin Salimi | Physical Medicine & Rehabilitation | 4311 3rd Ave, San Diego, CA 92103-1407 | 2008-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033583 | Mission Bay Hospice, Inc. | Hospice Care, Community Based | 10251 Vista Sorrento Pkwy Ste 280b, San Diego, CA 92121-3774 | 2020-11-03 |
| 1144821463 | La Jolla Hospice, Inc. | Hospice Care, Community Based | 10251 Vista Sorrento Pkwy Ste 280c, San Diego, CA 92121-3774 | 2020-11-03 |
| 1942801261 | Compassionate Palliative Care, Inc. | Hospice Care, Community Based | 10251 Vista Sorrento Pkwy Ste 280d, San Diego, CA 92121-3774 | 2020-11-03 |
| 1316548647 | Ocean Breeze Hospice, Inc. | Hospice Care, Community Based | 10251 Vista Sorrento Pkwy Ste 280e, San Diego, CA 92121-3774 | 2020-11-03 |
| 1851992325 | Palliative Tender Care, Inc. | Hospice Care, Community Based | 8400 Miramar Rd Ste 214a, San Diego, CA 92126-6330 | 2020-11-02 |
| 1952900680 | Ama Hospice Care Inc | Hospice Care, Community Based | 350 10th Ave Ste 1020, San Diego, CA 92101-7496 | 2020-10-23 |
| 1609474345 | Ray of Light Hospice, Inc. | Hospice Care, Community Based | 8400 Miramar Rd Ste 211a, San Diego, CA 92126-4387 | 2020-10-14 |
| 1245838986 | Ethereal Hospice, Inc. | Hospice Care, Community Based | 8400 Miramar Rd Ste 235b, San Diego, CA 92126-4387 | 2020-10-14 |
| 1629676366 | San Diego Hospice Care, Inc. | Hospice Care, Community Based | 8400 Miramar Rd Ste 241c, San Diego, CA 92126-4387 | 2020-10-14 |
| 1164020806 | Miramar Hospice, Inc. | Hospice Care, Community Based | 8400 Miramar Rd Ste 242c, San Diego, CA 92126-4387 | 2020-10-14 |
| Find all providers in SAN DIEGO | ||||
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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.