1. Home
  2. Directory
  3. California
  4. Fountain Valley
  5. Home Health
  6. NPI Profile

ACACIA HH&P OF SOUTHERN CALIFORNIA, LLC
NPI 1285096198
Home Health in Fountain Valley, CA

Active since March 22, 2016CLIA 05D2121243 · Waiver
11770 WARNER AVE, 102, FOUNTAIN VALLEY, CA 92708(949) 335-5515(949) 335-5519 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 22, 2023, Jun 30, 2016, Mar 22, 2016 (3 updates tracked since 2016).

About Acacia Hh&p Of Southern California, Llc NPPES

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

ACACIA HH&P OF SOUTHERN CALIFORNIA, LLC (NPI 1285096198) is a healthcare organization registered as a home health in Fountain Valley, California and active in the NPI registry since March 2016. The organization holds a CLIA Waiver certificate valid through March 11, 2028 and lists Alex Agazaryan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1285096198
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameACACIA HH&P OF SOUTHERN CALIFORNIA, LLC
Location Address11770 WARNER AVE, 102Fountain Valley, CA 92708-2663
Mailing Address11770 Warner Ave, 102Fountain Valley, CA 92708-2663 · (949) 335-5515 · Fax (949) 335-5519
Phone(949) 335-5515
Fax(949) 335-5519
Organization SubpartNo
Authorized OfficialAlex AgazaryanCeo · (949) 335-5515
Enumeration DateMarch 22, 2016
Last NPPES UpdateJune 22, 20233 updates tracked since enumeration
NPPES CertifiedJune 22, 2023
✔ NPI 1285096198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
11770 WARNER AVE, Fountain Valley, CA 92708
Open in Google Maps ↗

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 05D2121243

Acacia Hh&p Of Southern California, LLC · Fountain Valley, CA
Active · expires Mar 11, 2028
CLIA Number05D2121243
Laboratory TypeHome Health Agency
Certificate Effective DateMarch 12, 2026
Certificate Expiration DateMarch 11, 2028
Laboratory DirectorDr. Rishi Gupta
Laboratory Phone(949) 335-5515
Laboratory LocationAcacia Hh&p Of Southern California, LLC11770 Warner Ave Ste 102, Fountain Valley, CA 92708
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 12

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

DR. WILLIAM MAC YOUNG M.D.
Psychiatry & Neurology (Psychiatry)
11770 WARNER AVE, SUITE 226
FOUNTAIN VALLEY, CA 92708
Orange County (714) 241-8560
CHARLES L HOUGH JR. D.C.
Chiropractor
11770 WARNER AVE, SUITE 122
FOUNTAIN VALLEY, CA 92708
Orange County (714) 633-9532
WILLIAM M. YOUNG, M.D. A MEDICAL CORPORATION
Psychiatry & Neurology (Psychiatry)
11770 WARNER AVE, SUITE 226
FOUNTAIN VALLEY, CA 92708
Orange County (241) 241-8560
MORECARE PALLIATIVE & HOSPICE, INC.
Hospice Care, Community Based
11770 WARNER AVE, SUITE 120
FOUNTAIN VALLEY, CA 92708
Orange County (562) 912-5380
FOUNTAIN VALLEY HOSPITALIST MEDICAL GROUP
Internal Medicine (Pulmonary Disease)
11770 WARNER AVE, SUITE# 208
FOUNTAIN VALLEY, CA 92708
Orange County (714) 436-0111
ALLIED HOSPICE LLC
Hospice Care, Community Based
11770 WARNER AVE, STE 210
FOUNTAIN VALLEY, CA 92708
Orange County (714) 546-4133
ACACIA HOSPICE OF SOUTHERN CALIFORNIA, LLC
Hospice Care, Community Based
11770 WARNER AVE, SUITE 101
FOUNTAIN VALLEY, CA 92708
Orange County (714) 576-2222
MRS. LYNN MARIE MILLER LCSW
Social Worker (Clinical)
11770 WARNER AVE, STE 110
FOUNTAIN VALLEY, CA 92708
Orange County (714) 963-1059

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 Acacia Hh&p Of Southern California, LLC's NPI number?

The NPI number for Acacia Hh&p Of Southern California, LLC is 1285096198. It was assigned to this organization in the NPPES registry on March 22, 2016.

Where is Acacia Hh&p Of Southern California, LLC located?

Acacia Hh&p Of Southern California, LLC is located at 11770 Warner Ave 102, Fountain Valley, CA 92708. The listed phone number is (949) 335-5515.

What is Acacia Hh&p Of Southern California, LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Acacia Hh&p Of Southern California, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2121243) is associated with this NPI, valid through March 11, 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 Acacia Hh&p Of Southern California, LLC was last updated on June 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.