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HILLDALE HABILITATION CENETR
NPI 1073736427
Intermediate Care Facility, Intellectual Disabilities in La Mesa, CA

Active since April 11, 2007CLIA 05D0703674 · Waiver
7979 LA MESA BLVD, LA MESA, CA 91941(619) 465-8010(619) 465-8348 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Hilldale Habilitation Cenetr NPPES

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

HILLDALE HABILITATION CENETR (NPI 1073736427) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in La Mesa, California and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Dariush Razavi, Administrator, as its authorized official.

NPPES Registry Identity

NPI1073736427
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameRAZAVI CORP
Location Address7979 LA MESA BLVDLa Mesa, CA 91941-5065
Mailing Address7979 La Mesa BlvdLa Mesa, CA 91941-5065 · (619) 465-8010 · Fax (619) 465-8348
Phone(619) 465-8010
Fax(619) 465-8348
Organization SubpartNo
Authorized OfficialDariush RazaviAdministrator · (619) 465-8010
Enumeration DateApril 11, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1073736427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
7979 LA MESA BLVD, La Mesa, CA 91941
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Other Names 1

Doing Business AsHilldale Habilitation Cenetr

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 05D0703674

Hilldale Habilitation · La Mesa, CA
Active · expires Aug 31, 2026
CLIA Number05D0703674
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMike Markopoulos MD
Laboratory Phone(619) 465-8010
Laboratory LocationHilldale Habilitation7979 La Mesa Blvd, La Mesa, CA 91941
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Razavi Corp's NPI number?

The NPI number for Razavi Corp is 1073736427. It was assigned to this organization in the NPPES registry on April 11, 2007. The provider is doing business as Hilldale Habilitation Cenetr.

Where is Razavi Corp located?

Razavi Corp is located at 7979 La Mesa Blvd, La Mesa, CA 91941. The listed phone number is (619) 465-8010.

What is Razavi Corp's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Does Razavi Corp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0703674) 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 Razavi Corp was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.