NPIMap

Sharp Healthcare

Organization Active NPI Clinical Medical Laboratory · San Diego, CA

NPI 1619944196 · NPPES record last updated Feb 27, 2019

Key facts

NPI
1619944196
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Medical Laboratory 291U00000X
License
CLF3107 (CA)
Legal business name
SHARP HEALTHCARE
Practice address
10243 Genetic Center Dr
San Diego, CA 92121-6310
Phone
(858) 653-6150
Fax
(858) 499-3020
NPI assigned
Mar 3, 2006
Organization subpart
Yes
Parent organization (as reported)
SHARP HEALTHCARE

Authorized official

Name
Stacey Hrountas
Title
Ceo-Sharp Rees-Stealy
Phone
(858) 262-6003

Owned or controlled facilities with NPI records 12

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

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 2

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

Corporate family (same tax ID) 24

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

Practitioners 1

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

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0571576Sharp Rees Stealy Clinics Laboratory
10243 Genetic Center Dr, San Diego, CA 92121		ComplianceJan 6, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

All facility ownership & control disclosures 12

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

FacilityTypeRoleSince
Sharp Mesa Vista Hospital
San Diego, CA · CCN 054145		 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Sep 10, 1981
Sep 10, 1981
Sharp Memorial Hospital
San Diego, CA · CCN 050100		 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Sep 10, 1981
Sep 10, 1981
Sharp Memorial Hospital
San Diego, CA · CCN 05T100		 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Sep 10, 1981
Sep 10, 1981
Sharp Chula Vista Medical Center
Chula Vista, CA · CCN 050222		 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Feb 28, 1989
Feb 28, 1989
Sharp Healthcare
La Mesa, CA · CCN 050026		 Hospital Operational/Managerial Control May 29, 1991
Grossmont Hospital Corporation
La Mesa, CA · CCN 05T026		 Hospital Operational/Managerial Control May 29, 1991
Grossmont Hospital Corporation
La Mesa, CA · CCN 05S026		 Hospital Operational/Managerial Control May 29, 1991
Sharp Coronado Hospital and Healthcare Center
Coronado, CA · CCN 050234		 Hospital Operational/Managerial Control Jul 1, 1994
Sharp Chula Vista Medical Center
Chula Vista, CA · CCN 555216		 Skilled nursing facility 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Jan 2, 1986
Feb 28, 1989
Sharp Villa Coronado
Coronado, CA · CCN 055074		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Direct Ownership Interest (100%)		 Jul 1, 1994
Jul 1, 1994
Dec 20, 2025
Jul 1, 1994
Sharp Grossmont Hospital
La Mesa, CA · CCN 555572		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Direct Ownership Interest (100%)		 May 29, 1991
May 29, 1991
May 29, 1991
May 29, 1991
Sharp Hospicecare
La Mesa, CA · CCN 051598		 Hospice 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 May 29, 1991
May 29, 1991

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20041209000990 CA Part B Supplier - Independent Clinical Laboratory 2365427614 13 other NPIs on this enrollment
Practice locations: Santee, CA; San Diego, CA; La Mesa, CA; Chula Vista, CA

National Provider Directory

Tax ID family
Sharp Rees Stealy Pharm (25 organizations share this tax ID)
Part of
Sharp Rees Stealy Pharm

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CLF3107 CA Yes

Addresses

Primary practice location

10243 Genetic Center Dr
San Diego, CA 92121-6310

Mailing address

8695 Spectrum Center Blvd
San Diego, CA 92123-1489
Phone (858) 499-3025

Other names

  • Sharp Rees Stealy Clinics Laboratory - Sorrento Mesa Doing business as
  • Sharp Rees-Stealy Clinical Laboratory - Sorrento Mesa Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 27, 2019.

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551225600000",
    "number": "1619944196",
    "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",
            "telephone_number": "858-499-3025",
            "fax_number": "858-499-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10243 GENETIC CENTER DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921216310",
            "telephone_number": "858-653-6150",
            "fax_number": "858-499-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARP HEALTHCARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHARP HEALTHCARE",
        "enumeration_date": "2006-03-03",
        "last_updated": "2019-02-27",
        "status": "A",
        "authorized_official_last_name": "HROUNTAS",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "CEO-SHARP REES-STEALY",
        "authorized_official_telephone_number": "858-262-6003"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF3107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sharp Rees Stealy Clinics Laboratory - Sorrento Mesa",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sharp Rees-Stealy Clinical Laboratory - Sorrento Mesa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

All providers in San Diego, CA · Clinical Medical Laboratory in California

Sources for this page

Verify at the official NPI Registry.