PALOMAR HEALTH (NPI# 1245649904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245649904 |
| Entity Type | Organization |
| Organization Name | PALOMAR HEALTH |
| Other Organization Name | PALOMAR HEALTH PHARMACY SERVICES - PMC ESCONDIDO |
| Practice Address |
2185 Citracado Pkwy Escondido CA 92029-4159 |
| Mailing Address |
456 E Grand Ave Escondido CA 92025-3319 |
| Practice Telephone | 7607966838 |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2019-09-23 |
| Authorized Official Name | DIANE HANSEN (PRESIDENT AND CEO) |
| Authorized Official Telephone | 7607406385 |
| Is Organization Subpart | Y |
| Parent Organization Name | PALOMAR HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHE51949 | CA | Suppliers |
| Other Name | Type Code |
|---|---|
| Palomar Health Pharmacy Services | Doing Business As Name - Organization |
| Palomar Health Pharmacy Services - PMC Escondido | 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 |
| 1700239779 | Palomar Health | Psychiatric Hospital | 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 2016-07-14 |
| 1083065882 | Palomar Health | Clinic/Center | 700 W El Norte Pkwy, Escondido, CA 92026-3923 | 2016-06-23 |
| 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 |
| Find all providers in the same location | ||||
| 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 | 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 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689987 | Capsule San Diego LLC | Pharmacy | 1450 Columbia St Ste B, San Diego, CA 92101-3487 | 2020-11-04 |
| 1023618824 | Ingram's Pharmacy, LLC | Pharmacy | 1115 Union Ave Unit 147-1c, Bakersfield, CA 93307-1050 | 2020-10-29 |
| 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 |
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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.