Organization Active NPI

Palomar Health

  • Home Health Agency
  • San Marcos, CA
National Provider Identifier
1205806676
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
080000083 Issued in CA
Legal business name
PALOMAR HEALTH
Doing business as
Palomar Health Home Health Services
Practice address
120 Craven Rd
San Marcos, CA 92078-4235
Phone
(442) 281-3800
NPI assigned
Jan 26, 2006
Organization subpart
Yes
Parent organization
PALOMAR HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 26, 2022

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
(442) 777-0318

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 080000083 CA Primary
Home Health Agency 251E00000X

Addresses

Primary practice location

120 Craven Rd
San Marcos, CA 92078-4235

Mailing address

2125 Citracado Pkwy Ste 300
Escondido, CA 92029-4159

Other identifiers 1

IdentifierTypeStateIssuer
HHA07505GMedicaidCA

Other names 1

  • Palomar Health Home Health Services Doing business as

National Provider Directory

National Provider Directory
Part of
Pomerado Hospital

Locations

800 W Valley Pkwy
Ste 201
Escondido, CA 92025

800 W Valley Pkwy
Ste 200
Escondido, CA 92025
Phone (442) 281-5000

120 Craven Rd
Ste 207
San Marcos, CA 92078
Phone (760) 761-1125

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": "1653523200000",
    "number": "1205806676",
    "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": "120 CRAVEN RD",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920784235",
            "telephone_number": "442-281-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALOMAR HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PALOMAR HEALTH",
        "enumeration_date": "2006-01-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "442-777-0318"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "080000083",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA07505G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palomar Health Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.