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MAXIM HEALTHCARE SERVICES, INC.
NPI 1316055544
Home Health in San Diego, CA

Active since August 28, 2006CLIA 05D1015613 · Waiver
5030 CAMINO DE LA SIESTA, SUITE 405, SAN DIEGO, CA 92108(619) 299-9350(619) 299-9501 Get Directions Write a Review

NPPES record last updated: February 17, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maxim Healthcare Services, Inc. NPPES

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

MAXIM HEALTHCARE SERVICES, INC. (NPI 1316055544) is a healthcare organization registered as a home health in San Diego, California and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through August 10, 2027 and lists David Kowalczyk, Regional Controller, as its authorized official.

NPPES Registry Identity

NPI1316055544
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameMAXIM HEALTHCARE SERVICES, INC.
Location Address5030 CAMINO DE LA SIESTA, SUITE 405San Diego, CA 92108-3116
Mailing Address7227 Lee Deforest DriveColumbia, MD 21046 · (410) 910-1500 · Fax (410) 910-1600
Phone(619) 299-9350
Fax(619) 299-9501
Organization SubpartNo
Authorized OfficialDavid KowalczykRegional Controller · (410) 910-1500
Enumeration DateAugust 28, 2006
Last NPPES UpdateFebruary 17, 2014
✔ NPI 1316055544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in CA · 80000384
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.
5030 CAMINO DE LA SIESTA, San Diego, CA 92108
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Other Identifiers 1

MedicaidHHA57009H/05-K057CA

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 05D1015613

Maxim Healthcare Services Inc · San Diego, CA
Active · expires Aug 10, 2027
CLIA Number05D1015613
Laboratory TypeHome Health Agency
Certificate Effective DateAugust 11, 2025
Certificate Expiration DateAugust 10, 2027
Laboratory DirectorPreston W. Arndt
Laboratory Phone(619) 299-9350
Laboratory LocationMaxim Healthcare Services Inc3111 Camino Del Rio North, Ste 1200, San Diego, CA 92108
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

DR. TIMOTHY JOHN DUNNIGAN PH.D.
Psychologist (Clinical)
5030 CAMINO DE LA SIESTA, SUITE 306
SAN DIEGO, CA 92108
San Diego County (619) 889-6711
JENNIFER LYNN BESSEL PH.D.
Psychologist (Clinical)
5030 CAMINO DE LA SIESTA, SUITE 306
SAN DIEGO, CA 92108
San Diego County (619) 840-4785
MRS. RACHEL KURNIADI M.D.
Family Medicine (Geriatric Medicine)
5030 CAMINO DE LA SIESTA, SUITE 208
SAN DIEGO, CA 92108
San Diego County (619) 260-6300
DR. DANILO T TAN M.D.
Internal Medicine (Geriatric Medicine)
5030 CAMINO DE LA SIESTA, SUITE 208
SAN DIEGO, CA 92108
San Diego County (858) 373-2444
BOSTON MEDICAL GROUP CALIFORNIA, L.L.C.
Urology
5030 CAMINO DE LA SIESTA, SUITE 210
SAN DIEGO, CA 92108
San Diego County (619) 297-1797
JARED BROWN P.T.,D.P.T
Physical Therapist
5030 CAMINO DE LA SIESTA, #220
SAN DIEGO, CA 92108
San Diego County (619) 260-0750
DR. JOHN C JOHNSTON DC
Chiropractor
5030 CAMINO DE LA SIESTA, SUITE 402
SAN DIEGO, CA 92108
San Diego County (619) 294-9355
ORRY J MARCIANO II PA
Physician Assistant
5030 CAMINO DE LA SIESTA, #208
SAN DIEGO, CA 92108
San Diego County (858) 373-2444

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 Maxim Healthcare Services, Inc.'s NPI number?

The NPI number for Maxim Healthcare Services, Inc. is 1316055544. It was assigned to this organization in the NPPES registry on August 28, 2006.

Where is Maxim Healthcare Services, Inc. located?

Maxim Healthcare Services, Inc. is located at 5030 Camino De La Siesta Suite 405, San Diego, CA 92108. The listed phone number is (619) 299-9350.

What is Maxim Healthcare Services, Inc.'s specialty?

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

Does Maxim Healthcare Services, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1015613) is associated with this NPI, valid through August 10, 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 Maxim Healthcare Services, Inc. was last updated on February 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.