NPIMap

Organization Active NPI

Premise Health of California Medical, P.C

Doing business as Qualcomm Health Center

  • Primary Care Clinic/Center
  • San Diego, CA
National Provider Identifier
1285938969
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PREMISE HEALTH OF CALIFORNIA MEDICAL, P.C
Doing business as
Qualcomm Health Center
Practice address
5535 Morehouse Ave ,S-274
San Diego, CA 92121-1710
Phone
(858) 651-5918
Fax
(858) 651-5953
NPI assigned
Jan 10, 2011
Last updated
Aug 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Authorized official

Name
Jon Leizman, MD
Title
President
Phone
(216) 479-9063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

5535 Morehouse Ave ,S-274
San Diego, CA 92121-1710

Mailing address

16906 Collection Center Dr
Chicago, IL 60693-0169
Phone (877) 895-9013

Other names 1

  • Qualcomm Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Premise Health of California Medical PC55 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

5535 Morehouse Dr
#S274
San Diego, CA 92121
Phone (858) 651-5918

NPI Registry JSON

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660867200000",
    "number": "1285938969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16906 COLLECTION CENTER DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606930169",
            "telephone_number": "877-895-9013",
            "fax_number": "858-651-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5535 MOREHOUSE AVE ,S-274",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211710",
            "telephone_number": "858-651-5918",
            "fax_number": "858-651-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMISE HEALTH OF CALIFORNIA MEDICAL, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-10",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A",
        "authorized_official_last_name": "LEIZMAN",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-479-9063",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Qualcomm Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Qualcomm Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.