Palomar Health

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

Legal business name

PALOMAR HEALTH

Doing business as

Palomar Health Center for Behavioral Health - PMC Poway

Practice address

15615 Pomerado Road
Poway, CA 92064

Phone

(858) 613-4000

Fax

(760) 480-7966

NPI assigned

Jan 26, 2006

Last updated

Mar 9, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

PALOMAR HEALTHAs reported in NPPES

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

Authorized official

Name

Diane Hansen

Title

President and Ceo

Phone

(760) 740-6385

Specialties & licenses 2

Addresses

Other names 1

• Palomar Health Center for Behavioral Health - PMC Poway Doing business as

Part of

Pomerado Hospital Phcy

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1669442059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 CITRACADO PKWY STE 300",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920294159",
            "fax_number": "760-480-7966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15615 POMERADO ROAD",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "92064",
            "telephone_number": "858-613-4000",
            "fax_number": "760-480-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALOMAR HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PALOMAR HEALTH",
        "enumeration_date": "2006-01-26",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "760-740-6385"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "CA",
            "license": "080000127",
            "primary": false
        },
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palomar Health Center for Behavioral Health - PMC Poway",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Palomar Health Center for Behavioral Health - PMC Poway",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Palomar Ucsd Health Authority
• Palomar Ucsd Health Authority (Palomar UCSD Medical Center Poway)

• Psychiatric Hospital Unit in Poway, CA
• Providers in Poway, CA by specialty
• Psychiatric Hospital Unit in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.