Organization Active NPI

Sharp Coronado Hospital and Healthcare Center

  • Clinical Medical Laboratory
  • Coronado, CA
National Provider Identifier
1538947668
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SHARP CORONADO HOSPITAL AND HEALTHCARE CENTER
Practice address
250 Prospect PL
Coronado, CA 92118-1943
Phone
(619) 522-3600
NPI assigned
Sep 19, 2023
Organization subpart
Yes
Parent organization
SHARP CORONADO HOSPITAL AND HEALTHCARE CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Authorized official

Name
Scott Evans
Title
SVP Market Ceo
Phone
(619) 740-4648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

250 Prospect PL
Coronado, CA 92118-1943

Mailing address

8695 Spectrum Center Blvd
San Diego, CA 92123-1489

Other names 1

  • Sharp Coronado Hospital Laboratory Services Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0570915Sharp Cornado Hosp & Healthcare Center250 Prospect PL, Coronado, CA 92118AccreditationNov 30, 2027
05D0926465Department of Nursing/ Sharp Coronado250 Prospect Place, Coronado, CA 92118Certificate of waiverMar 23, 2027

National Provider Directory

National Provider Directory
Tax ID family
Coronado Hospital Labor4 organizations share this tax ID, including this one
Part of
Coronado Hospital Labor

Other organizations with this tax ID 3

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1538947668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8695 SPECTRUM CENTER BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PROSPECT PL",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921181943",
            "telephone_number": "619-522-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARP CORONADO HOSPITAL AND HEALTHCARE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHARP CORONADO HOSPITAL AND HEALTHCARE CENTER",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "SVP MARKET CEO",
        "authorized_official_telephone_number": "619-740-4648"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sharp Coronado Hospital Laboratory Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coronado, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.