NPIMap

Organization Active NPI

Edgemoor

  • Skilled Nursing Facility
  • Santee, CA
National Provider Identifier
1003001199
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
461705 Issued in CA
Legal business name
EDGEMOOR
Practice address
9065 Edgemoor Drive
Edgemoor Hospital
Santee, CA 92071-3037
Phone
(619) 956-2978
NPI assigned
Sep 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Myrna Corpuz Almuete
Title
RN
Phone
(619) 956-2978

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 461705 CA Primary

Addresses

Primary practice location

9065 Edgemoor Drive
Edgemoor Hospital
Santee, CA 92071-3037

Mailing address

9065 Edgemoor Dr
Santee, CA 92071-3037

National Provider Directory

National Provider Directory
Tax ID family
Edgemoor Geriatric Hospital101 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1003001199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9065 EDGEMOOR DR",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920713037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9065 EDGEMOOR DRIVE",
            "address_2": "EDGEMOOR HOSPITAL",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920713037",
            "telephone_number": "619-956-2978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEMOOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "ALMUETE",
        "authorized_official_first_name": "MYRNA",
        "authorized_official_middle_name": "CORPUZ",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "619-956-2978",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "461705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.