BRIDGE HOSPICE HIGH DESERT LLC
NPI 1114550522
Hospice Care, Community Based in San Diego, CA

Active since February 14, 2020CLIA 05D2078742 · Waiver
3636 NOBEL DR STE 450, SAN DIEGO, CA 92122(858) 251-4242 Get Directions Write a Review

NPPES record last updated: February 14, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bridge Hospice High Desert Llc NPPES

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

BRIDGE HOSPICE HIGH DESERT LLC (NPI 1114550522), doing business as Bridge Hospice, is a healthcare organization registered as a hospice care, community based in San Diego, California and active in the NPI registry since February 2020. The organization holds a CLIA Waiver certificate valid through June 2, 2028 and lists Michael Suor, Ceo, as its authorized official.

NPPES Registry Identity

NPI1114550522
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameBRIDGE HOSPICE HIGH DESERT LLC
Location Address3636 NOBEL DR STE 450San Diego, CA 92122-1062
Mailing Address3636 Nobel Dr Ste 450San Diego, CA 92122-1062 · (858) 251-4242
Organization SubpartNo
Authorized OfficialMichael SuorCeo · (858) 251-4242
Enumeration DateFebruary 14, 2020
NPI 1114550522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
3636 NOBEL DR STE 450, San Diego, CA 92122

Other Names 1

Doing Business AsBridge Hospice

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 05D2078742

Bridge Hospice, LLC · San Diego, CA
Active · expires Jun 2, 2028
CLIA Number05D2078742
Laboratory TypeHospice
Certificate Effective DateJune 3, 2026
Certificate Expiration DateJune 2, 2028
Laboratory DirectorAndrew J. Imparato
Laboratory Phone(858) 277-5200
Laboratory LocationBridge Hospice, LLC5090 Shoreham Pl, Ste 209, San Diego, CA 92122
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Internal Medicine (Hospice and Palliative Medicine)
3636 NOBEL DR STE 450
SAN DIEGO, CA 92122
Home Health
3636 NOBEL DR STE 450
SAN DIEGO, CA 92122

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 Bridge Hospice High Desert LLC's NPI number?

The NPI number for Bridge Hospice High Desert LLC is 1114550522. It was assigned to this organization in the NPPES registry on February 14, 2020. The provider is doing business as Bridge Hospice.

Where is Bridge Hospice High Desert LLC located?

Bridge Hospice High Desert LLC is located at 3636 Nobel Dr Ste 450, San Diego, CA 92122. The listed phone number is (858) 251-4242.

What is Bridge Hospice High Desert LLC's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Does Bridge Hospice High Desert LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2078742) is associated with this NPI, valid through June 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bridge Hospice High Desert LLC was last updated on February 14, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.