SAN DIEGO HEALTHCARE CENTER
NPI 1003098906
Skilled Nursing Facility in San Diego, CA

Active since December 03, 2007CLIA 05D0571411 · Waiver
2828 MEADOW LARK DR, SAN DIEGO, CA 92123(858) 277-6460 Get Directions Write a Review

NPPES record last updated: January 17, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About San Diego Healthcare Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAN DIEGO HEALTHCARE CENTER (NPI 1003098906) is a healthcare organization registered as a skilled nursing facility in San Diego, California and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Tracy Clark, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003098906
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLIFEHOUSE SAN DIEGO OPERATIONS, LLC
Location Address2828 MEADOW LARK DRSan Diego, CA 92123-2710
Mailing Address1000 Corporate Pointe, Suite 100Culver City, CA 90230-7690 · (310) 337-1929
Organization SubpartYesParent: Lifehouse Health Services, Llc
Authorized OfficialTracy ClarkCeo · (310) 337-1929
Enumeration DateDecember 3, 2007
Last NPPES UpdateJanuary 17, 2017
NPI 1003098906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in CA · PENDING APPROVAL
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
2828 MEADOW LARK DR, San Diego, CA 92123

Other Names 1

Doing Business AsSan Diego Healthcare Center

Other Identifiers 2

Medicare OSCAR/certification555585
Medicare OSCAR/certification555585CA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0571411

San Diego Healthcare Center · San Diego, CA
Active · expires Aug 31, 2026
CLIA Number05D0571411
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorSaleem Rajper
Laboratory Phone(858) 277-6460
Laboratory LocationSan Diego Healthcare Center2828 Meadow Lark Dr, San Diego, CA 92123
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
2828 MEADOW LARK DR
SAN DIEGO, CA 92123
Skilled Nursing Facility
2828 MEADOW LARK DR
SAN DIEGO, CA 92123
Skilled Nursing Facility
2828 MEADOW LARK DR
SAN DIEGO, CA 92123

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lifehouse San Diego Operations, LLC's NPI number?

The NPI number for Lifehouse San Diego Operations, LLC is 1003098906. It was assigned to this organization in the NPPES registry on December 3, 2007. The provider is doing business as San Diego Healthcare Center.

Where is Lifehouse San Diego Operations, LLC located?

Lifehouse San Diego Operations, LLC is located at 2828 Meadow Lark Dr, San Diego, CA 92123. The listed phone number is (858) 277-6460.

What is Lifehouse San Diego Operations, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Lifehouse San Diego Operations, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0571411) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lifehouse San Diego Operations, LLC was last updated on January 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.