The Ambient Hospice Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

THE AMBIENT HOSPICE INC.

Practice address

14852 Ventura Blvd Ste 201
Sherman Oaks, CA 91403-5946

Phone

(818) 355-5657

NPI assigned

Aug 7, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Enrico San Agustin

Title

Ceo

Phone

(818) 495-0888

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN 751709

Legal name

THE AMBIENT HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 24, 2015

Last certification

Aug 10, 2018

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

May 18, 2012 in CA

Enrollment address

6350 Laurel Canyon Blvd
Ste 330
North Hollywood, CA 91606-3224

Listed as

The Ambient Hospice IncCCN 751709

Ownership

For-Profit

Certified

Jun 24, 2015

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 5

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.

• Anika Muthiah, M.D.

  • Family Medicine Physician
  • Claremont, CA
  • NPI 1225566656

  W-2 Managing Employee

  CMS ownership

Affiliated clinicians 2

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

• Vishal Govil, D.O.

  • Family Medicine Physician
  • Chino, CA
  • NPI 1851751853

  Hospice

  Care Compare affiliation
• Anika Muthiah, M.D.

  • Family Medicine Physician
  • Claremont, CA
  • NPI 1225566656

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593561600000",
    "number": "1134476237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14852 VENTURA BLVD STE 201",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914035946",
            "telephone_number": "818-355-5657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14852 VENTURA BLVD STE 201",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914035946",
            "telephone_number": "818-355-5657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE AMBIENT HOSPICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-07",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A",
        "authorized_official_last_name": "SAN AGUSTIN",
        "authorized_official_first_name": "ENRICO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-495-0888",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Korrine Terriquez
• Pogos Terstepanyan, PHARMD
• Kelsie Testa, LMFT
• Chong Thao
• Mailee Thao
• The Caden Companies Inc
• The Caring Bunch
• The Healthier Choice Recovery LLC
• The Help Group
• The Help Group

• Community Based Hospice Care Agency in Sherman Oaks, CA
• Providers in Sherman Oaks, 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 Jul 1, 2020; 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.