CVS HEALTH (NPI# 1194271189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194271189 |
| Entity Type | Organization |
| Organization Name | CVS HEALTH |
| Practice Address |
1792 Garnet Ave San Diego CA 92109-3350 |
| Practice Telephone | 8584831489 |
| Practice Fax Number | 8584832237 |
| Mailing Telephone | 8584831489 |
| Mailing Fax Number | 8584832237 |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2016-08-30 |
| Authorized Official Name | DIANA L TELAHUN (PHARMACIST) |
| Authorized Official Telephone | 8584831489 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 60385 | CA | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679025894 | Cvs Health | Pharmacist | 11911 Us Hwy 70 W, Clayton, NC 27520 | 2016-11-04 |
| 1144672924 | Cvs Health | Durable Medical Equipment & Medical Supplies | 200 Highland Corporate Dr, Cumberland, RI 02864-1786 | 2016-07-06 |
| 1508235292 | Cvs Health | Pharmacist | 750 Ny-25a, Kings Park, NY 11754 | 2015-09-23 |
| 1700483625 | Cvs Health | Pharmacy | 2406 E Thomas Rd, Phoenix, AZ 85016-7912 | 2020-10-04 |
| 1962937136 | Cvs Health | Pharmacy | 19121 Beach Blvd, Huntington Beach, CA 92648-2307 | 2017-04-26 |
| 1427582691 | Cvs Health | Pharmacist | 309 E Cornwallis Dr, Greensboro, NC 27408-5103 | 2017-04-14 |
| 1841724127 | Cvs Health | Point of Service | 1131 Randolph St, Thomasville, NC 27360-5749 | 2017-04-13 |
| 1578003224 | Cvs Health | Pharmacy | 5200 York Rd, Baltimore, MD 21212-4215 | 2017-02-28 |
| 1568905347 | Cvs Health | Pharmacy | 201 Glen St, Glen Cove, NY 11542-2734 | 2016-11-28 |
| 1003361924 | Cvs Health | Hospice Care, Community Based | 8995 University Blvd, North Charleston, SC 29406-9116 | 2016-08-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CVS HEALTH | 1 Cvs Dr, Woonsocket, RI 02895-6146 |
| Virginia Business Entities | CVS Health Solutions LLC | One Cvs Dr, Woonsocket, Rhode Island 02895 |
| Oregon Corporations, Companies and Business Names | CVS HEALTH SOLUTIONS LLC | 1 Cvs Drive, Woonsocket, RI 02895 |
| Washington State Corporations | CVS HEALTH SOLUTIONS LLC | 1 Cvs Dr, Woonsocket, RI 02895-6146 |
| Iowa Business Entities | CVS HEALTH SOLUTIONS LLC | One Cvs Drive, Woonsocket, RI 02895 |
| Colorado Business Entities | CVS Health Solutions LLC | 1 Cvs Drive, Woonsocket, RI 02895 |
| North Carolina Corporations | CVS Health Solutions LLC | 160 Mine Lake Ct Ste 200, Raleigh, NC 27615 |
| Connecticut Business Registrations | CVS HEALTH SOLUTIONS LLC | One Cvs Drive, Woonsocket, RI 02895 |
| Colorado Business Entities | CVS HEALTHCARE PRACTICES PLLC | One Cvs Drive, Woonsocket, RI 02895 |
| Street Address |
1792 GARNET AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92109-3350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275576001 | Longs Drug Stores California LLC | Pharmacy | 1792 Garnet Ave, San Diego, CA 92109-3350 | 2006-06-13 |
| 1063012060 | Angela Hoefke | Nurse Practitioner | 1792 Garnet Ave, San Diego, CA 92109-3350 | 2020-10-28 |
| 1184231326 | Cindy F Tolentino | Nurse Practitioner | 1792 Garnet Ave, San Diego, CA 92109-3350 | 2020-09-30 |
| 1558999466 | Dario Nassif | Pharmacist | 1792 Garnet Ave, San Diego, CA 92109-3350 | 2020-03-28 |
| 1376176776 | Nora Elmajian | Pharmacist | 1792 Garnet Ave, San Diego, CA 92109-3350 | 2020-02-13 |
| 1295371300 | Son Ngoc Luu | Pharmacist | 1792 Garnet Ave, San Diego, CA 92109-3350 | 2019-11-24 |
| 1710521240 | Darnell Ongkingco Yumol | Pharmacist | 1792 Garnet Ave, San Diego, CA 92109-3350 | 2019-10-28 |
| 1972067478 | Natasha Nicole Romero | Pharmacist | 1792 Garnet Ave, San Diego, CA 92109-3350 | 2019-01-29 |
| 1245794296 | Christopher Shim | Pharmacist | 1792 Garnet Ave, San Diego, CA 92109-3350 | 2019-01-23 |
| 1548730468 | Diana Lee Telahun | Pharmacist | 1792 Garnet Ave, San Diego, CA 92109-3350 | 2018-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538620786 | San Diego Forensic Psychology Corporation | Psychologist | 4640 Cass Street, # 90422, San Diego, CA 92109 | 2019-03-29 |
| 1982113874 | Holly Mansur | Registered Nurse | 3663 Jewell Street, San Diego, CA 92109 | 2017-09-24 |
| 1669906178 | Kelley Ann Riley | Prevention Professional | 4328 Gresham St, San Diego, CA 92109 | 2017-04-12 |
| 1689113524 | Tyler Marquis | Pharmacist | 2636 Grand Avenue Apartment 326, San Diego, CA 92109 | 2017-02-13 |
| 1912372574 | Lonnie Butler | Doula | 841 Turquoise Street, F-405, San Diego, CA 92109 | 2015-12-08 |
| 1275924995 | Pratima S. Gowdar, Dds, Inc | Dentist | 4655 Cass St. Ste 104, San Diego, CA 92109 | 2015-02-17 |
| 1417388562 | Pacific Rim Pathology Medical Corporation | Clinical Medical Laboratory | 3030 Bunker Hill Street, Suite 201, San Diego, CA 92109 | 2013-11-27 |
| 1023379997 | Eric Berquist | Student in an Organized Health Care Education/Training Program | 2009 Reed Ave, San Diego, CA 92109 | 2012-06-06 |
| 1982996724 | Miramar Health Physicians Group | Acupuncturist | 1321 Garnet Avenue, San Diego, CA 92109 | 2011-05-12 |
| 1902109325 | Anna N Amagou | Behavioral Analyst | 2221 Felspar Street Apt #c, San Diego, CA 92109 | 2010-12-07 |
| Find all providers in zip 92109 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790172997 | Time Express LLC | Preferred Provider Organization | 6035 University Ave Ste 31, San Diego, CA 92115-6343 | 2015-04-25 |
| 1740684042 | A Caring Touch Home Care | Preferred Provider Organization | 3025 Beyer Blvd Ste E102, San Diego, CA 92154-3432 | 2014-10-15 |
| 1881901932 | Stephen Chinn Od A Professional Corperation Dba As Stephen Chinn Od | Preferred Provider Organization | 2811 University Ave, Suite C, San Diego, CA 92104-2904 | 2010-09-10 |
| 1508975202 | Lawrence J. Schlitt M.d., A Professional Medical Corp. | Preferred Provider Organization | 12395 El Camino Real Ste 120, San Diego, CA 92130-3083 | 2006-08-29 |
| 1932709532 | Frey Dental Corporation | Preferred Provider Organization | 8989 Rio San Diego Dr Ste 170, San Diego, CA 92108-1604 | 2020-11-01 |
| 1912439050 | San Diego American Indian Health Center | Preferred Provider Organization | 2630 1st Ave, San Diego, CA 92103-6599 | 2017-03-29 |
| 1902348527 | Rb Senior Residences | Preferred Provider Organization | 15260 Amalia St, San Diego, CA 92129-1228 | 2016-11-14 |
| 1588119317 | Pathways Community Services, LLC | Preferred Provider Organization | 8880 Rio San Diego Dr, Suite 800 Office 47, San Diego, CA 92108-1634 | 2016-08-22 |
| 1912365651 | Stephanie Knatz Peck, Phd Psychological Services Inc | Preferred Provider Organization | 4370 La Jolla Village Dr Ste 400, San Diego, CA 92122-1251 | 2016-02-09 |
| 1659761849 | Love Psychology, Inc. | Preferred Provider Organization | 2204 Garnet Ave, Suite 102, San Diego, CA 92109-3771 | 2015-01-27 |
| 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.