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YUCAIPA VALLEY PEDIATRIC LIVING INC
NPI 1649165358
Skilled Nursing Facility - Nursing Care, Pediatric in Yucaipa, CA

Active since June 11, 2025
12193 CUSTER ST, YUCAIPA, CA 92399(909) 499-0804 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Yucaipa Valley Pediatric Living Inc NPPES

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

YUCAIPA VALLEY PEDIATRIC LIVING INC (NPI 1649165358) is a healthcare organization registered as a nursing care, pediatric in Yucaipa, California and active in the NPI registry since June 2025. The organization lists Hanah J Malcolm, Licensee, as its authorized official.

NPPES Registry Identity

NPI1649165358
Entity TypeOrganization
Primary Taxonomy3140N1450X
Legal Business NameYUCAIPA VALLEY PEDIATRIC LIVING INC
Location Address12193 CUSTER STYucaipa, CA 92399-4485
Mailing Address12193 Custer StYucaipa, CA 92399-4485
Phone(909) 499-0804
Organization SubpartNo
Authorized OfficialHanah J MalcolmLicensee · (909) 499-0804
Enumeration DateJune 11, 2025
NPPES CertifiedJune 11, 2025
✔ NPI 1649165358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing Facility · Nursing Care, PediatricNursing & Custodial Care Facilities
Taxonomy Code3140N1450X
Definition
A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
12193 CUSTER ST, Yucaipa, CA 92399
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Other Providers at the Same Location NPPES 3

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

HANAH JAYMES MALCOLM
Registered Nurse
12193 CUSTER ST
YUCAIPA, CA 92399
San Bernardino County (909) 499-0804
MEGAN LINDSAY HAMPTON
Registered Nurse
12193 CUSTER ST
YUCAIPA, CA 92399
San Bernardino County (909) 327-6700
MRS. KRISTINA JIMENEZ LVN
Licensed Vocational Nurse
12193 CUSTER ST
YUCAIPA, CA 92399
San Bernardino County (951) 756-6756

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 Yucaipa Valley Pediatric Living Inc's NPI number?

The NPI number for Yucaipa Valley Pediatric Living Inc is 1649165358. It was assigned to this organization in the NPPES registry on June 11, 2025.

Where is Yucaipa Valley Pediatric Living Inc located?

Yucaipa Valley Pediatric Living Inc is located at 12193 Custer St, Yucaipa, CA 92399. The listed phone number is (909) 499-0804.

What is Yucaipa Valley Pediatric Living Inc's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility, specializing in Nursing Care, Pediatric, with taxonomy code 3140N1450X.

When was this NPI record last updated?

The NPPES record for Yucaipa Valley Pediatric Living Inc was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.