ACCENTCARE OF CA - PCS
Complete NPI Record 1710187299
Home Health in San Diego, CA
Active since July 23, 2007
Complete NPI Dataset
This page contains the complete raw NPPES record for Accentcare Of Ca - Pcs (NPI 1710187299), a home health organization in San Diego, CA. All 33 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, Markdown or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1710187299 Field 1/33
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/33
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/33
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: ACCENTCARE OF CALIFORNIA, INC. Field 4/33
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider Other Organization Name: ACCENTCARE OF CA - PCS Field 5/33
- Other name by which the organization provider is or has been known.
- Provider Other Organization Name Type Code: 5 Field 6/33
- Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
- Provider First Line Business Mailing Address: 17855 DALLAS PKWY STE 200 Field 7/33
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: DALLAS Field 8/33
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: TX Field 9/33
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 752876857 Field 10/33
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 11/33
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 9722013819 Field 12/33
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider Business Mailing Address Fax Number: 9093314301 Field 13/33
- The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
- Provider First Line Business Practice Location Address: 411 CAMINO DEL RIO SOUTH Field 14/33
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Second Line Business Practice Location Address: SUITE 302 Field 15/33
- The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: SAN DIEGO Field 16/33
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: CA Field 17/33
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 921083551 Field 18/33
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 19/33
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 6195431660 Field 20/33
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 6195431668 Field 21/33
- The fax number associated with the location address of the provider being identified.
- NPI Deactivation Date: 4/23/2019 Field 24/33
- The date that the provider's NPI was deactivated in the NPS.
- NPI Reactivation Date: 6/6/2019 Field 25/33
- The date that the provider's NPI was reactivated in the NPS.
- Authorized Official Last Name: SCHWARTZ-DOTY Field 26/33
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Authorized Official First Name: DENA Field 27/33
- The first name of the authorized official.
- Authorized Official Title or Position: VP/SECRETARY Field 28/33
- The title or position of the authorized official.
- Authorized Official Telephone Number: 9722013819 Field 29/33
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 251E00000X Field 30/33
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 31/33
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Organization Subpart: N Field 32/33
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
Secondary Practice Locations 12
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
1451 River Park Dr Ste 150
Location 1/12Sacramento, CA 95815-4519 · Phone (916) 563-3831
2280 Market St Ste 220
Location 2/12Riverside, CA 92501-2120 · Phone (951) 778-8985
1301 Redwood Way Ste 240
Location 3/12Petaluma, CA 94954-1136 · Phone (707) 792-2211
400 Race St Ste 101
Location 4/12San Jose, CA 95126-3519 · Phone (408) 376-0811
1910 Olympic Blvd Ste 235
Location 5/12Walnut Creek, CA 94596-5009 · Phone (925) 685-9555
5412 N Palm Ave Ste 101A
Location 6/12Fresno, CA 93704-1943 · Phone (559) 242-9782
5855 Green Valley Cir Ste 310
Location 7/12Culver City, CA 90230-6969 · Phone (310) 307-7094
23725 Birtcher Dr Ste 150
Location 8/12Lake Forest, CA 92630-1772 · Phone (619) 543-1660
3509 Coffee Rd Ste D20
Location 9/12Modesto, CA 95355-1359 · Phone (972) 201-3810
4900 California Ave Ste 43
Location 10/12Bakersfield, CA 93309-7024 · Phone (661) 249-4850
71687 Highway 111 Ste 201
Location 11/12Rancho Mirage, CA 92270-4515 · Phone (760) 836-9381
21515 Hawthorne Blvd Ste 212
Location 12/12Torrance, CA 90503-6501 · Phone (408) 610-7413
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