CORRECTIONS AND REHABILITATION


Address: 481 Alta Road, Facility E, Facility Support Building, Room A161, San Diego, CA 92179
Phone: 6196616500

CORRECTIONS AND REHABILITATION (NPI# 1275169005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275169005
Entity Type Organization
Organization Name CORRECTIONS AND REHABILITATION
Practice Address 481 Alta Road
Facility E, Facility Support Building, Room A161
San Diego
CA 92179
Practice Telephone 6196616500
Practice Fax Number 6196617894
Mailing Telephone 6196616500
Mailing Fax Number 6196617894
Enumeration Date 2020-03-12
Last Update Date 2020-03-12
Authorized Official Name DR. ROBERT STEVEN THARRATT (STATEWIDE CHIEF MEDICAL EXECUTIVE)
Authorized Official Telephone 9166919913
Authorized Official Credential MD
Is Organization Subpart Y
Parent Organization Name CORRECTIONS AND REHABILITATION

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 333600000X Pharmacy Suppliers

Other Provider/Organization Names

Other Name Type Code
Richard J Donovan Correctional Facility E Pharmacy Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1578199741 Corrections and Rehabilitation Pharmacy 16756 Chino Corona Road, Corona, CA 92880 2020-03-19
1265067086 Corrections and Rehabilitation Pharmacy 7018 Blair Road, Calipartia, CA 92233 2020-03-12
1134754955 Corrections and Rehabilitation Pharmacy 22844 Virginia Blvd., California City, CA 93505 2020-03-12
1831724657 Corrections and Rehabilitation Pharmacy 570 E. Natoma Street, Folsom, CA 95630 2020-03-12
1427684257 Corrections and Rehabilitation Pharmacy 24863 W. Jayne Avenue, Coalinga, CA 93210 2020-03-12
1356976179 Corrections and Rehabilitation Pharmacy 19005 Wileys Well Road, Blythe, CA 92225 2020-03-12
1326673146 Corrections and Rehabilitation Pharmacy 23500 Kasson Rd Rm 180, Tracy, CA 95304-9595 2020-03-12
1528694379 Corrections and Rehabilitation Pharmacy 21633 Avenue 24 Bldg 1101 Rm 173, Chowchilla, CA 93610-0099 2020-03-12
1417583287 Corrections and Rehabilitation Pharmacy 31626 Highway 101 Dmh Administration Ste 606, Soledad, CA 93960-1020 2020-03-12
1962037887 Corrections and Rehabilitation Pharmacy 14901 So Central Avenue, Chino, CA 91710 2020-03-11

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities CORRECTIONS AND REHABILITATION, DEPARTMENT OF 560 E Natoma St, Folsom, CA 95630-2233

Office Location

Street Address 481 ALTA ROAD
FACILITY E, FACILITY SUPPORT BUILDING, ROOM A161
City SAN DIEGO
State CA
Zip Code 92179

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508104928 Paul Hippaka Social Worker 408 Alta Road, San Diego, CA 92179 2013-01-18
1205462769 Corrections and Rehabilitation Pharmacy 480 Alta Road, Pharmacy Building Room 122, San Diego, CA 92179 2020-03-17
1104343946 Ruth Ann Villasenor Social Worker 480 Alta Road, San Diego, CA 92179 2017-08-23
1518302124 Antoinette Frances Dorothy Busalacchi Physician Assistant 480 Alta Rd, San Diego, CA 92179 2013-05-08
1063657385 Charles Fielding Marsh Psychiatry & Neurology 480 Alta Road, San Diego, CA 92179 2008-12-16
1932374238 John Charles Preston IIi Psychiatry & Neurology 480 Alta Road, San Diego, CA 92179 2008-04-28
1609049972 Richard Louis Gomez Psychiatry & Neurology 480 Alta Rd, Dept of Mental Health Services Rjdcf, San Diego, CA 92179 2008-04-08
1932371127 John A. Saunders Psychiatry & Neurology 480 Alta Rd, Rjdcf, San Diego, CA 92179 2008-03-27
1730351370 Malvern C Holland Jr. Psychologist 480 Alta Road, R.j. Donovan Correctional Facility, San Diego, CA 92179-0001 2008-03-24
1760452874 Ryan Anthony Barenchi Family Medicine 480 Alta Rd, San Diego, CA 92179-0001 2006-01-23
Find all providers in zip 92179

Taxonomy Information

Taxonomy Code 333600000X
Grouping Suppliers
Classification Pharmacy

Taxonomy Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
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: added definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114528940 Kaiser Foundation Health Plan Inc Pharmacy 4647 Zion Ave Fl4, Rm 4825, San Diego, CA 92120-2507 2020-11-06
1891394128 Scriptdash Inc Pharmacy 4240 Kearny Mesa Rd Ste 107, San Diego, CA 92111-3769 2020-10-19
1720607112 Kaiser Foundation Health Plan Inc Pharmacy 6911 Convoy Ct Fl 1 Rm 1501, San Diego, CA 92111-1014 2020-04-15
1942772272 Rising Star Holdings LLC Pharmacy 500 S Dr Ee Dunlap Hwy Ste C, San Diego, TX 78384-3415 2018-12-27
1326551003 Theotokos, LLC Pharmacy 5550 Carmel Mountain Rd Ste 111, San Diego, CA 92130 2017-11-16
1700245099 Naval Medical Center San Diego Pharmacy Mcas Miramar Exchange Pharmacy, Bldg 2660, San Diego, CA 92126 2016-02-16
1912362377 Dt Pharmacy Corporation Pharmacy 5507 El Cajon Blvd # E, San Diego, CA 92115-3624 2015-12-29
1649600487 Aids Healthcare Foundation Pharmacy 3940 Fourth Avenue, Suite 150, San Diego, CA 92103-7193 2013-11-14
1144574260 Medpilot Pharmacy Inc. Pharmacy 9323 Chesapeake Dr, Suite #c1, San Diego, CA 92123-1044 2012-10-29
1710257126 Medical Center Pharmacy Pharmacy 3904 Park Blvd., San Diego, CA 92103 2012-01-03
Find all providers in SAN DIEGO

Competitor

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City SAN DIEGO
Zip Code 92179

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Dataset Information

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.

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