Active NPI
Point Loma Convalescent Hospital
- Skilled Nursing Facility
- San Diego, CA
National Provider Identifier
1528055787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- POINT LOMA CONVALESCENT HOSPITAL
- Practice address
- 3202 Duke St
San Diego, CA 92110-5401 - Phone
- (619) 224-4141
- Fax
- (619) 224-1328
- NPI assigned
- Oct 3, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kitty Teel
- Title
- Operations Manager
- Phone
- (619) 224-4141
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | CA | Primary |
Addresses
Primary practice location
3202 Duke St
San Diego, CA 92110-5401
Mailing address
3202 Duke St
San Diego, CA 92110-5401
Phone (619) 224-4141
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZTO5322H | Medicaid | CA | |
| 4365879-8 | Other | CA | STATE TAX I.D. |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1528055787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3202 DUKE ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921105401",
"telephone_number": "619-224-4141",
"fax_number": "619-224-1328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3202 DUKE ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921105401",
"telephone_number": "619-224-4141",
"fax_number": "619-224-1328"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POINT LOMA CONVALESCENT HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TEEL",
"authorized_official_first_name": "KITTY",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "619-224-4141"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZTO5322H",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE TAX I.D.",
"identifier": "4365879-8",
"state": "CA"
}
],
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.