Beta Hospice Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

BETA HOSPICE CARE INC

Practice address

1525 N D St Ste 10
San Bernardino, CA 92405-4774

Phone

(909) 347-7000

Fax

(855) 563-3575

NPI assigned

Dec 17, 2018

Organization subpart

No

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

Authorized official

Name

Roza Sargsyan

Title

Ceo

Phone

(909) 347-7000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN A11527

Legal name

BETA HOSPICE CARE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Oct 12, 2020

Last certification

Oct 12, 2020

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Enrollment address

1525 N D St
Ste 10
San Bernardino, CA 92405-4774

Listed as

Beta Hospice Care IncCCN A11527

Ownership

For-Profit

Certified

Oct 12, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 2

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.

• Oscar L. Chien, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • San Gabriel, CA
  • NPI 1679675904

  W-2 Managing Employee

  CMS ownership

Affiliated clinicians 6

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

• Robert Anthony Azurin, M.D.

  • Family Medicine Physician
  • South Gate, CA
  • NPI 1700149663

  Hospice

  Care Compare affiliation
• Oscar L. Chien, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • San Gabriel, CA
  • NPI 1679675904

  Hospice

  Care Compare affiliation
• Richard Lam, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Pasadena, CA
  • NPI 1831519115
  Care Compare affiliation
• Joy Lombrio Montes, M.D.

  • Hospitalist Physician
  • Northridge, CA
  • NPI 1588808356

  Hospice

  Care Compare affiliation
• Hong Phuc Nguyen, DO

  • Internal Medicine Physician
  • Lancaster, CA
  • NPI 1992995997

  Hospice

  Care Compare affiliation
• Sunil G. Sujan, M.D.

  • Internal Medicine Physician
  • Santa Monica, CA
  • NPI 1598740474

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1063983997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 N D ST STE 10",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924054774",
            "telephone_number": "909-347-7000",
            "fax_number": "855-563-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 N D ST STE 10",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924054774",
            "telephone_number": "909-347-7000",
            "fax_number": "855-563-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETA HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "SARGSYAN",
        "authorized_official_first_name": "ROZA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-347-7000"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in San Bernardino, CA
• Providers in San Bernardino, 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 Jan 12, 2024; 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.