NPIMap

Organization Active NPI

Quantum Adult Day Health Care Center

  • Long Term Care Hospital
  • San Diego, CA
National Provider Identifier
1669645636
Registry record updated Dec 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
090000105 Issued in CA
Legal business name
QUANTUM ADULT DAY HEALTH CARE CENTER
Practice address
5550 University Ave
San Diego, CA 92105-2307
Phone
(619) 582-3800
NPI assigned
Apr 10, 2008
Organization subpart
Yes
Parent organization
PROMISE HOSPITAL OF SAN DIEGOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 27, 2013

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

Authorized official

Name
Mr. David J Armstrong
Title
Evp/General Counsel
Phone
(561) 869-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 090000105 CA Primary

Addresses

Primary practice location

5550 University Ave
San Diego, CA 92105-2307

Mailing address

999 Yamato Road
3Rd Floor
Boca Raton, FL 33431
Phone (561) 869-3100

Other identifiers 1

IdentifierTypeStateIssuer
ADU70363GMedicaidCA

Other names 1

  • PROMISE HOSPITAL OF SAN DIEGO Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Quantum Health Inc5 organizations share this tax ID, including this one
Part of
Quantum Health Inc

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388102400000",
    "number": "1669645636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 YAMATO ROAD",
            "address_2": "3RD FLOOR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33431",
            "telephone_number": "561-869-3100",
            "fax_number": "561-826-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 UNIVERSITY AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921052307",
            "telephone_number": "619-582-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUM ADULT DAY HEALTH CARE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROMISE HOSPITAL OF SAN DIEGO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2013-12-27",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EVP/GENERAL COUNSEL",
        "authorized_official_telephone_number": "561-869-3100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "CA",
            "license": "090000105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADU70363G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROMISE HOSPITAL OF SAN DIEGO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 27, 2013; 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.