Active NPI
Palomar Health
Doing business as Palomar Health Center for Behavioral Health - PMC Escondido
- Psychiatric Hospital Unit
- Escondido, CA
National Provider Identifier
1063482412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital Unit
- License
- 080000083
- 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, 2021
- Organization subpart
- Yes
- Parent organization
- PALOMAR HEALTH
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HSM30115F | Medicaid | CA |
Other names 1
- Palomar Health Center for Behavioral Health - PMC Escondido
National Provider Directory
National Provider Directory- Part of
- Palomar Memorial Hospit
Interoperability endpoints
- 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
- Palomar Family Counseling Service, Inc.
- Palomar Family Counseling Service, Inc.
- Palomar Family Counseling Service, Inc.
- Palomar Family Counseling Service, Inc.
- Palomar Fdamily Counseling Services, Inc.
- Palomar Health (Palomar Health Surgery Center)
- Palomar Health (Palomar Health Pharmacy Services - PMC Escondido)
- Palomar Health (Palomar Health Outpatient Pharmacy)
- Palomar Health (Palomar Health Pharmacy Services - PMC Downtown Escondido)
- Palomar Health (Palomar Health Forensic Health Services)
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.