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PANDA WAY
NPI 1598042608
Nursing Facility/Intermediate Care Facility in Perris, CA

Active since November 03, 2011CLIA 05D2051708 · Waiver
1331 ADDISON WAY, PERRIS, CA 92571(951) 928-0494 Get Directions Write a Review

NPPES record last updated: November 3, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Panda Way NPPES

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

PANDA WAY (NPI 1598042608) is a healthcare organization registered as a nursing facility/intermediate care facility in Perris, California and active in the NPI registry since November 2011. The organization holds a CLIA Waiver certificate valid through December 25, 2026 and lists Vivian Bazley, Vice President, as its authorized official.

NPPES Registry Identity

NPI1598042608
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameBRIDGE 2 LIFE-ADDISON, LLC
Location Address1331 ADDISON WAYPerris, CA 92571-3878
Mailing AddressPo Box 2551Guasti, CA 91743-2551 · (951) 928-0494
Phone(951) 928-0494
Organization SubpartNo
Authorized OfficialVivian BazleyVice President · (951) 928-0494
Enumeration DateNovember 3, 2011
✔ NPI 1598042608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
1331 ADDISON WAY, Perris, CA 92571
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Other Names 1

Doing Business AsPanda Way

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 05D2051708

Bridge 2 Life-Addison, LLC · Perris, CA
Active · expires Dec 25, 2026
CLIA Number05D2051708
Laboratory TypeCongregate Living Health
Certificate Effective DateDecember 26, 2024
Certificate Expiration DateDecember 25, 2026
Laboratory DirectorScott Sale
Laboratory Phone(951) 928-0494
Laboratory LocationBridge 2 Life-Addison, LLC1331 Addison Way, Perris, CA 92571
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

BRIDGE 2 LIFE HEALTHCARE, INC.
Skilled Nursing Facility (Nursing Care, Pediatric)
1331 ADDISON WAY
PERRIS, CA 92571
Riverside County (951) 928-0494

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 Bridge 2 Life-Addison, LLC's NPI number?

The NPI number for Bridge 2 Life-Addison, LLC is 1598042608. It was assigned to this organization in the NPPES registry on November 3, 2011. The provider is doing business as Panda Way.

Where is Bridge 2 Life-Addison, LLC located?

Bridge 2 Life-Addison, LLC is located at 1331 Addison Way, Perris, CA 92571. The listed phone number is (951) 928-0494.

What is Bridge 2 Life-Addison, LLC's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Does Bridge 2 Life-Addison, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2051708) is associated with this NPI, valid through December 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bridge 2 Life-Addison, LLC was last updated on November 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.