NPIMap

Organization Active NPI

Preferred Healthcare Registry

  • General Acute Care Hospital
  • San Diego, CA
National Provider Identifier
1386844017
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
1891 Issued in CA
Legal business name
PREFERRED HEALTHCARE REGISTRY
Practice address
4655 Ruffner St
Suite 270
San Diego, CA 92111-2275
Phone
(800) 787-6787
NPI assigned
Jul 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Authorized official

Name
Kay Lynn Schreve, P.T.A.
Title
Physical Therapist Assistant
Phone
(415) 823-4641

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 1891 CA
General Acute Care Hospital 282N00000X 1891 CA Primary

Addresses

Primary practice location

4655 Ruffner St
Suite 270
San Diego, CA 92111-2275

Mailing address

1738 Spruce St
Apt. C
Berkeley, CA 94709-1758
Phone (415) 823-4641

National Provider Directory

National Provider Directory

Locations

4655 Ruffner St
Ste 270
San Diego, CA 92111
Phone (858) 505-0939

Practitioners & affiliated clinicians

Practitioners 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1386844017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1738 SPRUCE ST",
            "address_2": "APT. C",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947091758",
            "telephone_number": "415-823-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4655 RUFFNER ST",
            "address_2": "SUITE 270",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112275",
            "telephone_number": "800-787-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED HEALTHCARE REGISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "SCHREVE",
        "authorized_official_first_name": "KAY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST ASSISTANT",
        "authorized_official_telephone_number": "415-823-4641",
        "authorized_official_credential": "P.T.A."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "CA",
            "license": "1891",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "1891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 19, 2009; 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.