Palomar Health
Organization Active NPI General Acute Care Hospital · Poway, CA
NPI 1376513754 · NPPES record last updated Mar 9, 2022
Key facts
- NPI
- 1376513754
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- Legal business name
- PALOMAR HEALTH
- Practice address
- 15615 Pomerado Road
Poway, CA 92064 - Phone
- (858) 613-4000
- Fax
- (442) 281-3745
- NPI assigned
- Jan 26, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- PALOMAR HEALTH
Authorized official
- Name
- Diane Hansen
- Title
- President and Ceo
- Phone
- (760) 740-6385
Owners & managing parties with NPI records 2
Owned or controlled facilities with NPI records 3
Other NPIs with the same Medicare PAC ID 2
Member organizations 2
Facilities with the same owner 3
Affiliated clinicians 368
-
Aileen Afshar, MD
-
Masoud Afshar, M.D.
-
Sandy Pauline Akrawe, M.D.
-
Zaid Al-Dahhan, M.D.
-
Saad Alkhider, MD
-
Amar Manoj Amin, MD
-
Laura Andrews, M.D.
-
Julian N. Anthony, M.D.
-
Neil A Aranha, M.D.
-
Sarin Atam, MD
-
Moosa Azadian, M.D.
-
Natalia Babkina, MD
-
Nabil Baig, D.O.
-
Bradley B. Bailey, M.D.
-
David Baker, DO
-
Hailey Baker, MD
-
Philip J Balikian, M.D.
-
Daniel Barba, M.D.
Medicare Care Compare: Hospital
- Listed as
- Palomar Medical Center Poway
- Overall star rating
- ★★★★☆ 4 of 5
- Type
- Acute Care Hospitals
- Ownership
- Government - Hospital District or Authority
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Hospital certification: CCN 050636
- Legal name
- PALOMAR HEALTH
- Doing business as
- PALOMAR MEDICAL CENTER POWAY
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jun 22, 1977
- Last certification
- Nov 14, 2019
- Beds
- 236 (95 certified)
- Ownership / control type
- Hospital district or authority
- Organization structure
- Other · Non-profit
- Incorporated
- Jun 24, 1948 in CA
- Enrollment address
- 15615 Pomerado Rd
Poway, CA 92064-2405 - Hospital subgroups
- General, Acute care, Long-term
All disclosed owners & managing parties 4
| Name | Role | Since | Share |
|---|---|---|---|
| Palomar Health |
Operational/Managerial Control | Jan 1, 1966 | 100% |
| Diane Hansen |
Corporate Officer |
Dec 1, 2017 | 100% |
| Corporate Director |
Dec 1, 2017 | ||
| W-2 Managing Employee |
Oct 15, 2012 | ||
| Jami L Piearson |
Corporate Director |
Feb 4, 2019 | |
| W-2 Managing Employee |
Feb 4, 2019 | ||
| Helen S Waishkey |
Corporate Officer |
Aug 30, 2021 | |
| Corporate Director |
Aug 30, 2021 | ||
| W-2 Managing Employee |
Aug 30, 2021 |
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| Palomar Medical Center Escondido |
Hospital | Operational/Managerial Control (100%) | Jan 1, 1966 |
| Palomar Rehabilitation Institute |
Hospital | 5% Or Greater Direct Ownership Interest (49%) | Apr 27, 2021 |
| The Villas at Poway |
Skilled nursing facility | Operational/Managerial Control (100%) | Jun 24, 1966 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110323000080 | CA | Part a Provider - Hospital | 0840325767 | Practice locations: Poway, CA |
National Provider Directory
- Part of
- Pomerado Hospital
Locations
456 E Grand Ave
Escondido, CA 92025
Phone (760) 740-6301
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | |||
| General Acute Care Hospital | 282N00000X | 080000127 | CA | |
| General Acute Care Hospital | 282N00000X | Yes |
Addresses
Primary practice location
15615 Pomerado Road
Poway, CA 92064
Mailing address
2125 Citracado Pkwy Ste 300
Escondido, CA 92029-4159
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19469 | Other | CA | 3D MAMMOGRAPH DHCS |
| ZZT30636F | Medicaid | CA | |
| HSC30636F | Medicaid | CA | |
| ZZT40636F | Medicaid | CA |
Other names
- Palomar Medical Center Poway
Other providers in Poway, CA
- Pain Allevia Medical Corporation
- Keiloni Paje
- Genessa Pak
- Palomar Family Counseling Service, Inc.
- Palomar Health
- Palomar Health
- Palomar Health
- Palomar Health
- Palomar Health
- Palomar Health
All providers in Poway, CA · General Acute Care Hospital in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.