ADVANTAGE HEALTH SYSTEMS
NPI 1538225313
Home Health in San Diego, CA

Active since December 28, 2006CLIA 05D1059052 · Waiver
9663 TIERRA GRANDE ST, SUITE #101, SAN DIEGO, CA 92126(858) 433-0469(858) 433-0479 Get Directions Write a Review

NPPES record last updated: October 31, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 31, 2018, Sep 20, 2016 (2 updates tracked since 2016).

About Advantage Health Systems NPPES

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

ADVANTAGE HEALTH SYSTEMS (NPI 1538225313) is a healthcare organization registered as a home health in San Diego, California and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through September 19, 2026 and lists Emil Bundang, Ceo, as its authorized official.

NPPES Registry Identity

NPI1538225313
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameADVANTAGE HEALTH SYSTEMS
Location Address9663 TIERRA GRANDE ST, SUITE #101San Diego, CA 92126-4569
Mailing Address9663 Tierra Grande St, Suite #101San Diego, CA 92126-4569 · (858) 433-0469 · Fax (858) 433-0479
Fax(858) 433-0479
Organization SubpartNo
Authorized OfficialEmil BundangCeo · (858) 433-0469
Enumeration DateDecember 28, 2006
Last NPPES UpdateOctober 31, 20182 updates tracked since enumeration
NPI 1538225313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License Licensed in CA · 550000163
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.

9663 TIERRA GRANDE ST, San Diego, CA 92126

Other Identifiers 2

MedicaidHHA08355FCA
Other550000163CA · Cdph License

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D1059052
Facility Type
Home Health Agency
Certificate Effective Date
September 20, 2024
Certificate Expiration Date
September 19, 2026
Laboratory Director
POOYA AFSHAR
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Advantage Health Systems to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Dentist (Orthodontics and Dentofacial Orthopedics)
9663 TIERRA GRANDE ST, SUITE 105
SAN DIEGO, CA 92126
Psychologist (Counseling)
9663 TIERRA GRANDE ST, SUITE 104
SAN DIEGO, CA 92126
Psychologist
9663 TIERRA GRANDE ST, SUITE 104
SAN DIEGO, CA 92126
Hospice Care, Community Based
9663 TIERRA GRANDE ST, SUITE 204
SAN DIEGO, CA 92126
Prosthetic/Orthotic Supplier
9663 TIERRA GRANDE ST, SUITE 201
SAN DIEGO, CA 92126

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538225313, enumerated as an "organization" on December 28, 2006.

The provider is located at 9663 TIERRA GRANDE ST SUITE #101 SAN DIEGO, CA 92126 and the phone number is (858) 433-0469.

Home Health with taxonomy code 251E00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.