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

Active since October 25, 2021
13300 11TH STREET, VICTORVILLE, CA 92395(760) 808-2646 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

What is PACIFIC CREST HOSPICE OF THE HIGH DESERT LLC's NPI number?

The NPI number assigned to this healthcare provider is 1396409561, enumerated as an "organization" on October 25, 2021.

Where is the provider located?

The provider is located at 13300 11TH STREET VICTORVILLE, CA 92395 and the phone number is (760) 808-2646.

What is the provider's specialty?

Hospice Care, Community Based with taxonomy code 251G00000X.