Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Yucaipa Valley Pediatric Living Inc

Organization Pediatric Skilled Nursing Facility · NPI 1649165358

Yucaipa Valley Pediatric Living Inc is a Pediatric Skilled Nursing Facility in Yucaipa, California. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

12193 Custer St
Yucaipa, CA 92399-4485
Phone: (909) 499-0804
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Skilled Nursing Facility (primary) Taxonomy 3140N1450X

Record details

NPI number1649165358
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hanah Malcolm — Licensee · (909) 499-0804
NPI enumeratedJune 11, 2025
Last updated in NPPESJune 11, 2025
Certification dateJune 11, 2025
Mailing address12193 Custer St, Yucaipa, CA 92399-4485