Organization Active NPI

Palomar Health

Doing business as Palomar Health Center for Behavioral Health - PMC Escondido

  • Psychiatric Hospital Unit
  • Escondido, CA
National Provider Identifier
1063482412
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
080000083 Issued in CA
Legal business name
PALOMAR HEALTH
Doing business as
Palomar Health Center for Behavioral Health - PMC Escondido
Practice address
555 E Valley Pkwy
Escondido, CA 92025-3048
Phone
(858) 675-5259
Fax
(858) 675-5181
NPI assigned
Jan 26, 2006
Last updated
Mar 9, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
PALOMAR HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Authorized official

Name
Diane Hansen
Title
President and Ceo
Phone
(760) 740-6385

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 080000083 CA Primary
Psychiatric Hospital Unit 273R00000X

Addresses

Primary practice location

555 E Valley Pkwy
Escondido, CA 92025-3048

Mailing address

2125 Citracado Pkwy Ste 300
Escondido, CA 92029-4159

Other identifiers 1

IdentifierTypeStateIssuer
HSM30115FMedicaidCA

Other names 1

  • Palomar Health Center for Behavioral Health - PMC Escondido Doing business as

National Provider Directory

National Provider Directory
Part of
Palomar Memorial Hospit

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/6f73eb02-7a46-4cae-8907-0208d6de890c/

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1063482412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 CITRACADO PKWY STE 300",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920294159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E VALLEY PKWY",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253048",
            "telephone_number": "858-675-5259",
            "fax_number": "858-675-5181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALOMAR HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PALOMAR HEALTH",
        "enumeration_date": "2006-01-26",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "760-740-6385"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "CA",
            "license": "080000083",
            "primary": true
        },
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSM30115F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palomar Health Center for Behavioral Health - PMC Escondido",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Palomar Health Center for Behavioral Health - PMC Escondido",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.