Ultracare Hospice & Palliative Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ULTRACARE HOSPICE & PALLIATIVE CARE, INC.

Practice address

970 N Tustin Ave Ste 101
Anaheim, CA 92807-1761

Phone

(714) 603-7613

Fax

(657) 208-3780

NPI assigned

Feb 21, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Marialisa Mendoza

Title

Ceo/Owner

Phone

(714) 504-5371

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN A11653

Legal name

ULTRACARE HOSPICE & PALLIATIVE CARE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 19, 2020

Last certification

Sep 19, 2020

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jun 21, 2016 in CA

Enrollment address

970 N Tustin Ave
Ste 101
Anaheim, CA 92807-1761

Listed as

Ultracare HospiceCCN A11653 · All quality measures

Ownership

For-Profit

Certified

Sep 19, 2020

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Dilip Chhaganbhai Patel, MD

  • Pulmonary Disease Physician
  • Anaheim, CA
  • NPI 1548238660

  W-2 Managing Employee

  CMS ownership

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Sherie Carnegie, D O

  • Family Medicine Physician
  • Downey, CA
  • NPI 1821013772

  Hospice

  Care Compare affiliation
• Carlos M Dayrit, MD

  • Emergency Medicine Physician
  • Cerritos, CA
  • NPI 1346420122

  Hospice

  Care Compare affiliation
• Sharon Jamie, MD

  • Family Medicine Physician
  • Redlands, CA
  • NPI 1427216712

  Hospice

  Care Compare affiliation
• Noah Kojima, MD

  • Internal Medicine Physician
  • Santa Monica, CA
  • NPI 1740749837

  Hospice

  Care Compare affiliation
• Dilip Chhaganbhai Patel, MD

  • Pulmonary Disease Physician
  • Anaheim, CA
  • NPI 1548238660

  Hospice

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519171200000",
    "number": "1043711476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 N TUSTIN AVE STE 101",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928071761",
            "telephone_number": "714-603-7613",
            "fax_number": "657-208-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 N TUSTIN AVE STE 101",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928071761",
            "telephone_number": "714-603-7613",
            "fax_number": "657-208-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRACARE HOSPICE & PALLIATIVE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-21",
        "last_updated": "2018-02-21",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "MARIALISA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "714-504-5371",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Uddin
• Nikhila Udupa
• Kimi Uenaka
• Mayra Ugalde
• Ultimate Chiropractic Group
• Ultrasonic Radiology
• Umnpa, LLC
• Undono Care Anaheim 1, LLC
• Ai Ngoc Ung, XT
• Jonathan Ung

• Community Based Hospice Care Agency in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.