NPIMap

Organization Active NPI

Arch Health Partners

Doing business as Palomar Health Medical Group

  • Family Medicine Physician
  • Valley Center, CA
National Provider Identifier
1063954683
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ARCH HEALTH PARTNERS
Doing business as
Palomar Health Medical Group
Practice address
28743 Valley Center Rd
Suite B
Valley Center, CA 92082-6530
Phone
(760) 749-0824
Fax
(760) 749-2189
NPI assigned
Nov 14, 2016
Last updated
Apr 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Authorized official

Name
Denise Cotter
Title
Credentialing Specialist
Phone
(760) 291-6650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

28743 Valley Center Rd
Suite B
Valley Center, CA 92082-6530

Mailing address

15611 Pomerado Rd Ste 400
Poway, CA 92064-2437
Phone (858) 675-3100

Other names 1

  • Palomar Health Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100616000715 CA Part B Supplier - Clinic/Group Practice 9931239027 Receives reassigned benefits from 205 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Escondido, CA; Vista, CA; Valley Center, CA; San Diego, CA; Ramona, CA; Poway, CA

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2163040Arch Health Partners Valley Center28743 Valley Center Road, Suite B, Valley Center, CA 92082Certificate of waiverMar 5, 2027

National Provider Directory

National Provider Directory

Locations

2125 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000

15611 Pomerado Rd
Fl Fifth
Poway, CA 92064

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1063954683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15611 POMERADO RD STE 400",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642437",
            "telephone_number": "858-675-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28743 VALLEY CENTER RD",
            "address_2": "SUITE B",
            "city": "VALLEY CENTER",
            "state": "CA",
            "postal_code": "920826530",
            "telephone_number": "760-749-0824",
            "fax_number": "760-749-2189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCH HEALTH PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-14",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "COTTER",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "760-291-6650"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palomar Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valley Center, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.