NPIMap

Organization Active NPI

Sharp Memorial Hospital

Doing business as Sharp McDonald Center

  • Substance Abuse Rehabilitation Facility
  • San Diego, CA
National Provider Identifier
1801854658
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
080000039 Issued in CA
Legal business name
SHARP MEMORIAL HOSPITAL
Doing business as
Sharp McDonald Center
Practice address
7989 Linda Vista Rd
San Diego, CA 92111-5106
Phone
(858) 637-6920
NPI assigned
May 2, 2006
Last updated
Feb 27, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
SHARP MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Authorized official

Name
Tim Smith
Title
Ceo
Phone
(858) 939-4082

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 080000039 CA Primary

Addresses

Primary practice location

7989 Linda Vista Rd
San Diego, CA 92111-5106

Mailing address

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

Other names 1

  • Sharp McDonald Center 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
05D1013492Sharp McDonald Center7989 Linda Vista Rd, San Diego, CA 92111Certificate of waiverFeb 20, 2028

National Provider Directory

National Provider Directory
Tax ID family
Sharp Memorial Hospital5 organizations share this tax ID, including this one
Part of
Sharp Memorial Hospital

Other organizations with this tax ID 4

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

Locations

7989 Linda Vista Rd
San Diego, CA 92111
Phone (619) 719-1342

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551225600000",
    "number": "1801854658",
    "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": "7989 LINDA VISTA RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921115106",
            "telephone_number": "858-637-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARP MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHARP MEMORIAL HOSPITAL",
        "enumeration_date": "2006-05-02",
        "last_updated": "2019-02-27",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-939-4082"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "080000039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sharp McDonald Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sharp McDonald Center",
            "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 Feb 27, 2019; 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.