Individual provider Active NPI

Marta Baldemian

  • Community Based Hospice Care Agency
  • Pasadena, CA
National Provider Identifier
1083029599
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
405830 Issued in CA
Practice address
408 S Rosemead Blvd Ste 5
Pasadena, CA 91107-4976
Phone
(626) 398-0195
NPI assigned
Jun 23, 2014
Last updated
Jun 23, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 405830 CA Primary

Addresses

Primary practice location

408 S Rosemead Blvd Ste 5
Pasadena, CA 91107-4976

Mailing address

408 S Rosemead Blvd Ste 5
Pasadena, CA 91107-4976
Phone (626) 398-0195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
405830CAMDCommunity Based Hospice Care Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Pasadena Hospices, Inc. Hospice Care, Community Based Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403481600000",
    "number": "1083029599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 S ROSEMEAD BLVD STE 5",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911074976",
            "telephone_number": "626-398-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 S ROSEMEAD BLVD STE 5",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911074976",
            "telephone_number": "626-398-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDEMIAN",
        "first_name": "MARTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2014-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "405830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.