Sharp Memorial Hospital
Organization Active NPI Rehabilitation Hospital Unit · San Diego, CA
NPI 1114901352 · NPPES record last updated Feb 27, 2019
Key facts
- NPI
- 1114901352
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Hospital Unit 273Y00000X
- License
- 080000039 (CA)
- Legal business name
- SHARP MEMORIAL HOSPITAL
- Practice address
- 2999 Health Center Dr
San Diego, CA 92123-2762 - Phone
- (858) 939-3400
- Fax
- (858) 499-4738
- NPI assigned
- Dec 1, 2005
- Organization subpart
- Yes
- Parent organization (as reported)
- SHARP MEMORIAL HOSPITAL
Authorized official
- Name
- Tim Smith
- Title
- Ceo
- Phone
- (858) 939-4082
Owners & managing parties with NPI records 8
-
Charles A Athill, M.D.
-
Emily Elizabeth Cole, M.D.
-
Blair Page Henderson, M.D.
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 3
Member of 1
Related certifications (CCN) 1
Facilities with the same owner 11
Practitioners 1,055
-
Zina A Abbas, M.D.
-
Amy Suggs Abola, M.D.
-
Mohamed Samir Abu-Qaoud, M.D.
-
Cynthia Marie Adams, PA-C
-
Marie Harriet Adamson, M.D.
-
John Deryl Adderson, M.D.
-
Jessica Adeleke, D.O.
-
Teamrat A. Adhanom, M.D.
-
Sonal Agrawal, M.D.
-
Emelya Ahadian, M.D.
-
Jusleen Ahluwalia, M.D.
-
Jaafar Al-Dahwi, MD
-
Ali Ghazi Alamar, M.D.
-
Gregory M Alberton, M.D.
-
Joseph Aleshaki, DO
-
Mary E. Alexander, M.D.
-
Amber Alkema, DPT
-
Mumtaz Thomas Almansour, M.D.
-
Vickie Alston, CNM
-
Kenneth Alan Altschuler, M.D.
-
Mustafa Adam Alwash, M.D
Affiliated clinicians 916
-
Adil A Abbasi, M.D.
-
Mohamed Samir Abu-Qaoud, M.D.
-
Angela R Acfalle, NP CNS
-
John Deryl Adderson, M.D.
-
Aileen Afshar, MD
-
Emelya Ahadian, M.D.
-
Jusleen Ahluwalia, M.D.
-
Yvonne Ahn, MD
-
Jaafar Al-Dahwi, MD
-
Ali Ghazi Alamar, M.D.
-
Gregory M Alberton, M.D.
-
Roshanak Alialy, MD
-
Saad Alkhider, MD
-
Rachael Ann Allen, D.O
-
Mumtaz Thomas Almansour, M.D.
-
Mahlet Alula, M.D.
-
Mustafa Adam Alwash, M.D
-
Gregg D Alzate, MD
Medicare Care Compare: Hospital
- Listed as
- Sharp Memorial Hospital
- Overall star rating
- ★★★★☆ 4 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare Care Compare: Inpatient rehabilitation facility
- Listed as
- Sharp Memorial Rehabilitation Center
- Ownership
- Non-profit
- Certified
- Oct 1, 1983
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA
Hospital certification: CCN 050100
- Legal name
- SHARP MEMORIAL HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Mar 9, 2018
- Beds
- 881
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Sep 14, 1981 in CA
- Enrollment address
- 7901 Frost St
San Diego, CA 92123-2701 - Hospital subgroups
- General, Acute care, Rehabilitation, Other
Hospital certification: CCN 05T100
- Legal name
- SHARP MEMORIAL HOSPITAL
- Organization structure
- Corporation · Non-profit
- Incorporated
- Sep 14, 1981 in CA
- Enrollment address
- 2999 Health Center Dr
San Diego, CA 92123-2762 - Hospital subgroups
- Rehabilitation
All disclosed owners & managing parties 18
| Name | Role | Since | Share |
|---|---|---|---|
| Blair P Henderson |
Corporate Director | Jan 1, 2026 | |
| Marilyn Creson Brown |
Corporate Officer |
Aug 1, 2023 | |
| Philip Gildred |
Corporate Director |
Aug 1, 2019 | |
| Charles a Athill |
Corporate Director |
Aug 1, 2020 | |
| Stephanie Benvenuto |
Corporate Officer |
Aug 1, 2023 | |
| Sharp Healthcare |
5% Or Greater Direct Ownership Interest | Sep 10, 1981 | 100% |
| Operational/Managerial Control | Sep 10, 1981 | ||
| Richard D Coutts |
Corporate Director |
Aug 1, 2019 | |
| Paola Avila |
Corporate Director |
Feb 1, 2021 | |
| Patricia Khaleghi |
Corporate Officer |
Oct 30, 2022 | |
| W-2 Managing Employee |
Apr 8, 1991 | ||
| Corporate Director |
Oct 30, 2022 | ||
| W-2 Managing Employee |
Mar 16, 2020 | ||
| Jonathan J Gray |
Corporate Director | Oct 1, 2024 | |
| Christopher D Howard |
Corporate Officer |
Dec 1, 2019 | |
| W-2 Managing Employee |
Feb 1, 2019 | ||
| Corporate Officer |
Feb 1, 2019 | ||
| Casey Castillo |
Corporate Director | Aug 1, 2023 | |
| Emily Cole |
Corporate Officer |
Aug 1, 2023 | |
| Frederick G Johnson |
Corporate Director |
Aug 1, 2022 | |
| James Smith |
Corporate Director | Oct 1, 2017 | |
| Jershonda F Hartsfield |
Corporate Director | Jan 1, 2024 | |
| Derek Quackenbush |
Corporate Director |
Aug 1, 2023 | |
| Corporate Director | Aug 1, 2023 | ||
| Christopher Thomas Walker |
Corporate Director | May 20, 2024 | |
| W-2 Managing Employee |
Mar 6, 2000 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071011000716 | CA | Part a Provider - Hospital | 2961396841 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: San Diego, CA |
| O20071127000851 | CA | Part a Provider - Hospital | 2961396841 | Practice locations: San Diego, CA |
National Provider Directory
- Part of
- Sharp Memorial Hosp Pat
Locations (25 of 36)
2633 16th St
Bakersfield, CA 93301
Phone (661) 334-4403
6125 Paseo del Norte
Ste 120
Carlsbad, CA 92011
Phone (858) 356-2615
10100 Culver Blvd
Culver City, CA 90232
Phone (310) 280-2700
12442 Limonite Ave
Unit 200
Eastvale, CA 91752
Phone (951) 737-4000
231 W Main St
El Cajon, CA 92020
Phone (619) 425-7755
505 N Mollison Ave
Ste 103
El Cajon, CA 92021
Phone (619) 354-4694
1679 E Main St
Ste 206
El Cajon, CA 92021
Phone (619) 579-6300
477 N El Camino Real
Ste S208
Encinitas, CA 92024
1780 E Florida Ave
Hemet, CA 92544
Phone (714) 636-0342
4150 Regents Park Row
Ste 230
La Jolla, CA 92037
Phone (858) 207-3117
9834 Genesee Ave
Ste 312
La Jolla, CA 92037
Phone (858) 453-7128
5525 Grossmont Center Dr
Ste 200
La Mesa, CA 91942
Phone (619) 644-6500
1414 S Grand Ave
Fl 1
Los Angeles, CA 90015
1520 E Plaza Blvd
National City, CA 91950
Phone (619) 425-7755
655 Euclid Ave
Ste 205
National City, CA 91950
Phone (619) 470-1945
431 S Batavia St
Ste 102
Orange, CA 92868
Phone (714) 771-7800
15725 Pomerado Rd
Ste 218
Poway, CA 92064
Phone (619) 825-8511
3366 5th Ave
San Diego, CA 92103
Phone (619) 230-0400
6106 Regents Rd
San Diego, CA 92122
Phone (858) 625-2466
1040 University Ave
Ste B209A
San Diego, CA 92103
Phone (619) 299-1100
2878 Camino del Rio S
Ste 303
San Diego, CA 92108
Phone (619) 286-7866
10717 Camino Ruiz
Ste 258
San Diego, CA 92126
Phone (619) 881-4564
300 Fir St
San Diego, CA 92101
Phone (619) 446-1586
8008 Frost St
Ste 311
San Diego, CA 92123
Phone (858) 292-5175
3939 3rd Ave
Bldg B
San Diego, CA 92103
Phone (619) 243-0663
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital Unit | 273Y00000X | 080000039 | CA | Yes |
Addresses
Primary practice location
2999 Health Center Dr
San Diego, CA 92123-2762
Mailing address
8695 Spectrum Center Blvd
San Diego, CA 92123-1489
Phone (858) 499-3025
Other names
- Sharp Allison deRose Rehabilitation Center
- Sharp Memorial Rehabilitation Center
Other providers in San Diego, CA
- Sharp Healthcare
- Sharp Healthcare
- Sharp Healthcare
- Sharp Healthcare
- Sharp Memorial Hospital
- Sharp Memorial Hospital
- Sharp Memorial Hospital
- Sharp Memorial Hospital
- Sharp Memorial Hospital
- Sharp Memorial Hospital
All providers in San Diego, CA · Rehabilitation Hospital Unit in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.