PACIFIC CREST HOSPICE OF THE HIGH DESERT LLC - NPI 1396409561 - Hospice Care, Community Based in Victorville, CA

Q: What is Pacific Crest Hospice Of The High Desert LLC's specialty?

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

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About Pacific Crest Hospice Of The High Desert Llc NPPES

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

PACIFIC CREST HOSPICE OF THE HIGH DESERT LLC (NPI 1396409561) is a healthcare organization registered as a hospice care, community based in Victorville, California and active in the NPI registry since October 2021. The organization lists Jose Lynch, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1396409561

Entity TypeOrganization

Primary Taxonomy251G00000X

Legal Business NamePACIFIC CREST HOSPICE OF THE HIGH DESERT LLC

Location Address13300 11TH STREETVictorville, CA 92395

Mailing Address400 Exchange Ste 100Irvine, CA 92602-1340

Phone(760) 808-2646

Organization SubpartNo

Authorized OfficialJose LynchManaging Member · (714) 673-6810

Enumeration DateOctober 25, 2021

Last NPPES UpdateDecember 14, 2021

NPPES CertifiedDecember 14, 2021

✔ NPI 1396409561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies

Taxonomy Code251G00000X

13300 11TH STREET, Victorville, CA 92395

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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 05D2258561

Pacific Crest Hospice Of Ventura County, LLC · Ventura, CA

Expired · Apr 21, 2026

CLIA Number05D2258561

Laboratory TypeHospice

Certificate Effective DateApril 22, 2024

Certificate Expiration DateApril 21, 2026

Laboratory DirectorAli Esmali

Laboratory Phone(760) 808-2646

Laboratory LocationPacific Crest Hospice Of Ventura County, LLC2300 Alessandro Dr Suite 120, Ventura, CA 93001

CLIA data matches this NPI record on: 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 Pacific Crest Hospice Of The High Desert LLC's NPI number?

The NPI number for Pacific Crest Hospice Of The High Desert LLC is 1396409561. It was assigned to this organization in the NPPES registry on October 25, 2021.

Where is Pacific Crest Hospice Of The High Desert LLC located?

Pacific Crest Hospice Of The High Desert LLC is located at 13300 11th Street, Victorville, CA 92395. The listed phone number is (760) 808-2646.

What is Pacific Crest Hospice Of The High Desert LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Pacific Crest Hospice Of The High Desert LLC was last updated on December 14, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.