Active NPI
Palomar Ucsd Health Authority
- Institutional Pharmacy
- Poway, CA
National Provider Identifier
1225969017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Institutional Pharmacy
- Legal business name
- PALOMAR UCSD HEALTH AUTHORITY
- Practice address
- 15615 Pomerado Rd
Poway, CA 92064-2405 - Phone
- (858) 613-4000
- NPI assigned
- May 28, 2026
- Organization subpart
- Yes
- Parent organization
- PALOMAR UCSD HEALTH AUTHORITY
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
- Ceo
- Phone
- (760) 740-6395
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Institutional Pharmacy | 3336I0012X | Primary |
Addresses
Primary practice location
15615 Pomerado Rd
Poway, CA 92064-2405
Mailing address
2125 Citracado Pkwy Ste 300
Escondido, CA 92029-4159
National Provider Directory
National Provider Directory- Tax ID family
- Palomar Ucsd Health Authority
- Part of
- Palomar Ucsd Health Authority
Other organizations with this tax ID 8
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Escondido, CA
- NPI 1093646879
-
- Clinical Medical Laboratory
- Poway, CA
- NPI 1144151937
-
- General Acute Care Hospital
- Poway, CA
- NPI 1144171661
-
- Institutional Pharmacy
- Escondido, CA
- NPI 1205767092
-
- General Acute Care Hospital
- Escondido, CA
- NPI 1447101969
-
- Skilled Nursing Facility
- Poway, CA
- NPI 1851242374
-
- Psychiatric Hospital Unit
- Escondido, CA
- NPI 1861322372
-
- Clinical Medical Laboratory
- Escondido, CA
- NPI 1891626677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779926400000",
"number": "1225969017",
"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": "15615 POMERADO RD",
"city": "POWAY",
"state": "CA",
"postal_code": "920642405",
"telephone_number": "858-613-4000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALOMAR UCSD HEALTH AUTHORITY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PALOMAR UCSD HEALTH AUTHORITY",
"enumeration_date": "2026-05-28",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A",
"authorized_official_last_name": "HANSEN",
"authorized_official_first_name": "DIANE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "760-740-6395"
},
"taxonomies": [
{
"code": "3336I0012X",
"taxonomy_group": "",
"desc": "Pharmacy, Institutional Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poway, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.