Palomar Heights Care Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

080000060 Issued in CA

Legal business name

PALOMAR HEIGHTS CARE CENTER, LLC

Practice address

1260 E Ohio Ave
Escondido, CA 92027-3054

Phone

(760) 746-1100

Fax

(760) 746-1201

NPI assigned

Jun 22, 2005

Last updated

Apr 11, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Fernan Perdraja

Title

Financial Controller

Phone

(818) 247-6200

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460332800000",
    "number": "1255337440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 S GLENDALE AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912053316",
            "telephone_number": "818-247-6200",
            "fax_number": "818-247-7129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 E OHIO AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920273054",
            "telephone_number": "760-746-1100",
            "fax_number": "760-746-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALOMAR HEIGHTS CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2016-04-11",
        "status": "A",
        "authorized_official_last_name": "PERDRAJA",
        "authorized_official_first_name": "FERNAN",
        "authorized_official_title_or_position": "FINANCIAL CONTROLLER",
        "authorized_official_telephone_number": "818-247-6200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "080000060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID NUMBER",
            "identifier": "05D0670999",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC555764G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Palomar Health (Palomar Health Acute Rehabilitation)
• Palomar Health (Palomar Health Laboratory Services - PMC Downtown Escondido)
• Palomar Health (Palomar Health Laboratory Services - PMC Escondido)
• Palomar Health (Crisis Stabilization Unit)
• Palomar Health Rehabilitation Institute, LLC (Palomar Rehabilitation Institute)
• Palomar Heights Healthcare, LLC (Palomar Heights Post Acute)
• Palomar Hospitalist Medical Group, Inc
• Palomar Intensivist Medical Group, Inc
• Palomar Medical Group, Inc
• Palomar Orthopaedic Specialists, Apmc

• Skilled Nursing Facility in Escondido, CA
• Providers in Escondido, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; 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.