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COASTLINE HOSPICE INC
NPI 1336746684
Hospice Care, Community Based in Long Beach, CA

Active since October 08, 2020CLIA 05D2317346 · Waiver
2777 PACIFIC AVE STE L, LONG BEACH, CA 90806(562) 317-8778(562) 317-8779 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 10, 2020, Oct 8, 2020 (2 updates tracked since 2020).

About Coastline Hospice Inc NPPES

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

COASTLINE HOSPICE INC (NPI 1336746684) is a healthcare organization registered as a hospice care, community based in Long Beach, California and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through January 21, 2027 and lists Jessica Dashtoyan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1336746684
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameCOASTLINE HOSPICE INC
Location Address2777 PACIFIC AVE STE LLong Beach, CA 90806-2625
Mailing Address2777 Pacific Ave Ste LLong Beach, CA 90806-2625 · (562) 317-8778 · Fax (562) 317-8779
Phone(562) 317-8778
Fax(562) 317-8779
Organization SubpartNo
Authorized OfficialJessica DashtoyanCeo · (562) 317-8778
Enumeration DateOctober 8, 2020
Last NPPES UpdateDecember 10, 20202 updates tracked since enumeration
NPPES CertifiedDecember 10, 2020
✔ NPI 1336746684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
2777 PACIFIC AVE STE L, Long Beach, CA 90806
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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 05D2317346

Coastline Hospice Inc · West Covina, CA
Active · expires Jan 21, 2027
CLIA Number05D2317346
Laboratory TypeHospice
Certificate Effective DateJanuary 22, 2025
Certificate Expiration DateJanuary 21, 2027
Laboratory DirectorA Ante
Laboratory Phone(562) 317-8778
Laboratory LocationCoastline Hospice Inc1433 W Merced Ave Ste 218, West Covina, CA 91790
CLIA data matches this NPI record on: 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 Coastline Hospice Inc's NPI number?

The NPI number for Coastline Hospice Inc is 1336746684. It was assigned to this organization in the NPPES registry on October 8, 2020.

Where is Coastline Hospice Inc located?

Coastline Hospice Inc is located at 2777 Pacific Ave Ste L, Long Beach, CA 90806. The listed phone number is (562) 317-8778.

What is Coastline Hospice Inc's specialty?

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

Does Coastline Hospice Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2317346) is associated with this NPI, valid through January 21, 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 Coastline Hospice Inc was last updated on December 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.