NPIMap

Organization Active NPI

El Camino Hospital

  • Community/Retail Pharmacy
  • Mountain View, CA
National Provider Identifier
1306344510
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
55879 Issued in CA
Legal business name
EL CAMINO HOSPITAL
Practice address
2500 Grant Rd Ste 1B20
Suite 1B20
Mountain View, CA 94040-4302
Phone
(650) 988-8240
Fax
(650) 988-8245
NPI assigned
Jan 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Authorized official

Name
Marian Tay
Title
Pharmacy Manager
Phone
(650) 988-8240

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 55879 CA Primary

Addresses

Primary practice location

2500 Grant Rd Ste 1B20
Suite 1B20
Mountain View, CA 94040-4302

Mailing address

2500 Grant Rd Ste 1B20
Mountain View, CA 94040-4378
Phone (650) 988-8240

Other identifiers 1

IdentifierTypeStateIssuer
2175494OtherPK

Other names 1

  • El Camino Hospital Outpatient Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210429001441 CA Part B Supplier - Pharmacy 0042239238 Practice locations: Mountain View, CA

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
El Camino Hospital-SNF7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

555 Knowles Dr
Ste 100
Los Gatos, CA 95032
Phone (408) 866-4059

2495 Hospital Dr
Fl 2
Mountain View, CA 94040
Phone (650) 988-8351

2490 Hospital Dr
Mountain View, CA 94040
Phone (650) 261-6861

2660 Grant Rd
Ste F
Mountain View, CA 94040
Phone (650) 940-7003

2500 Grant Rd
Ste 1B20
Mountain View, CA 94040
Phone (650) 962-5860

2495 Hospital Dr
Fl 1
Mountain View, CA 94040
Phone (650) 694-3971

2505 Hospital Dr
Ste 101
Mountain View, CA 94040
Phone (650) 988-8338

2505 Hospital Dr
Ste 102
Mountain View, CA 94040
Phone (650) 988-8338

2240 Tully Rd
San Jose, CA 95122
Phone (408) 238-9100

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Pathways Home Health and HospiceSunnyvale, CA, CCN 057190 Home health agency Operational/Managerial Control (50%) Apr 1, 1986
Commonspirit Health at HomeSunnyvale, CA, CCN 051580 Hospice 5% Or Greater Direct Ownership Interest (50%) Apr 1, 1986
Commonspirit Health at HomeOakland, CA, CCN 051506 Hospice 5% Or Greater Direct Ownership Interest (50%) Apr 1, 1986

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1306344510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 GRANT RD STE 1B20",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404378",
            "telephone_number": "650-988-8240",
            "fax_number": "650-988-8245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 GRANT RD STE 1B20",
            "address_2": "SUITE 1B20",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404302",
            "telephone_number": "650-988-8240",
            "fax_number": "650-988-8245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL CAMINO HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-23",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "TAY",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "650-988-8240"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "55879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2175494",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "El Camino Hospital Outpatient Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mountain View, CA

Sources for this page

Verify at the official NPI Registry.