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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SUNCREST HOSPICE SAN JOSE LLC
NPI 1043736333
Family Medicine - Hospice and Palliative Medicine in Fremont, CA

Active since August 17, 2017CLIA 05D2067012 · Waiver
3215 SKYWAY CT, FREMONT, CA 94539(408) 900-8838 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 13, 2026, Aug 17, 2017 (2 updates tracked since 2017).

About Suncrest Hospice San Jose Llc NPPES

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

SUNCREST HOSPICE SAN JOSE LLC (NPI 1043736333) is a healthcare organization registered as a hospice and palliative medicine in Fremont, California and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through October 6, 2027 and lists Christopher Harris, Ceo, as its authorized official.

NPPES Registry Identity

NPI1043736333
Entity TypeOrganization
Primary Taxonomy207QH0002X
Legal Business NameSUNCREST HOSPICE SAN JOSE LLC
Location Address3215 SKYWAY CTFremont, CA 94539-5951
Mailing Address9800 S Monroe St Ste 900Sandy, UT 84070-4419 · (801) 849-0486
Phone(408) 900-8838
Organization SubpartYes
Authorized OfficialChristopher HarrisCeo · (801) 849-0486
Enumeration DateAugust 17, 2017
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
✔ NPI 1043736333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QH0002X
Definition
A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
3215 SKYWAY CT, Fremont, CA 94539
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Other Names 1

Other NameSuncrest Palliative California

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 05D2067012

Suncrest Hospice San Jose, LLC · Fremont, CA
Active · expires Oct 6, 2027
CLIA Number05D2067012
Laboratory TypeHospice
Certificate Effective DateOctober 7, 2025
Certificate Expiration DateOctober 6, 2027
Laboratory DirectorEpifanio Deleon
Laboratory Phone(408) 900-8838
Laboratory LocationSuncrest Hospice San Jose, LLC3215 Skyway Court, Fremont, CA 94536
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 4

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

SUNCREST HOSPICE SAN JOSE LLC
Hospice Care, Community Based
3215 SKYWAY CT
FREMONT, CA 94539
Alameda County (408) 900-8838
CHOR SZE LEUNG
Registered Nurse (Hospice)
3215 SKYWAY CT
FREMONT, CA 94539
Alameda County (408) 900-8838
MR. MIRZA MOLBERG RN
Registered Nurse (Hospice)
3215 SKYWAY CT
FREMONT, CA 94539
Alameda County (408) 900-8838
TARA DIERMANN ROSILLO
Registered Nurse (Hospice)
3215 SKYWAY CT
FREMONT, CA 94539
Alameda County (408) 900-8838

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 Suncrest Hospice San Jose LLC's NPI number?

The NPI number for Suncrest Hospice San Jose LLC is 1043736333. It was assigned to this organization in the NPPES registry on August 17, 2017. The provider is also known as Suncrest Palliative California.

Where is Suncrest Hospice San Jose LLC located?

Suncrest Hospice San Jose LLC is located at 3215 Skyway Ct, Fremont, CA 94539. The listed phone number is (408) 900-8838.

What is Suncrest Hospice San Jose LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207QH0002X.

Does Suncrest Hospice San Jose LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2067012) is associated with this NPI, valid through October 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Suncrest Hospice San Jose LLC was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.