Organization Active NPI

Sharp Healthcare

Doing business as Sharp Rees Stealy Clinical Laboratory - Santee

  • Clinical Medical Laboratory
  • Santee, CA
National Provider Identifier
1134725559
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SHARP HEALTHCARE
Doing business as
Sharp Rees Stealy Clinical Laboratory - Santee
Practice address
8701 Cuyamaca St.
Santee, CA 92071
Phone
(619) 446-1543
NPI assigned
Dec 10, 2020
Last updated
Dec 10, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
SHARP HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Authorized official

Name
Christopher Howard
Title
President and Ceo
Phone
(858) 499-4004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

8701 Cuyamaca St.
Santee, CA 92071

Mailing address

8695 Spectrum Center Blvd
San Diego, CA 92123-1489
Phone (858) 499-3025

Other names 1

  • Sharp Rees Stealy Clinical Laboratory - Santee Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041209000990 CA Part B Supplier - Independent Clinical Laboratory 2365427614 13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Santee, CA; San Diego, CA; La Mesa, CA; Chula Vista, CA

Other NPIs on the same Medicare enrollment 12

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
05D2200574Sharp Rees Stealy Clinics Laboratory-Santee8701 Cuyamaca St, Santee, CA 92071ComplianceOct 3, 2026

National Provider Directory

National Provider Directory
Tax ID family
San Diego Hospital Asso25 organizations share this tax ID, including this one
Part of
San Diego Hospital Asso

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

Locations

2437 Fenton St
Ste A
Chula Vista, CA 91914
Phone (619) 397-0866

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1134725559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8695 SPECTRUM CENTER BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231489",
            "telephone_number": "858-499-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 CUYAMACA ST.",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "92071",
            "telephone_number": "619-446-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARP HEALTHCARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHARP HEALTHCARE",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "858-499-4004"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sharp Rees Stealy Clinical Laboratory - Santee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 10, 2020; 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.