American Carequest East Bay

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

550002819 Issued in CA

Legal business name

AMERICAN CAREQUEST EAST BAY

Doing business as

National Hospice and Palliative Care

Practice address

302 Cherry LN Ste 107&108
Manteca, CA 95337-4311

Phone

(866) 634-2333

Fax

(408) 521-3333

NPI assigned

Nov 14, 2013

Last updated

Oct 26, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eric Levsky

Title

Director of Nursing

Phone

(866) 634-2333

Specialties & licenses 1

Addresses

Other names 1

• National Hospice and Palliative Care Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1134559032. Details of each certification follow.

• CCN 921500 Hospice · Active · Details

Hospice certification: CCN 921500

Legal name

AMERICAN CAREQUEST EAST BAY

Doing business as

NATIONAL HOSPICE AND PALLIATIVE CARE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 28, 2016

Last certification

Jul 25, 2019

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Nov 14, 2013 in CA

Enrollment address

302 Cherry LN
Ste 107 and 108
Manteca, CA 95337-4311

Listed as

National Hospice and Palliative CareCCN 921500 · All quality measures

Ownership

For-Profit

Certified

Aug 28, 2016

Medicare certification status

ActiveFrom the Provider of Services file

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.

Affiliated clinicians 7

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

• Stephen Chen, M.D.

  • Internal Medicine Physician
  • Oakland, CA
  • NPI 1265601553

  Hospice

  Care Compare affiliation
• Paul Nhan-Chinh Luong, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Modesto, CA
  • NPI 1558687798
  Care Compare affiliation
• Chun Fai NG, M.D.

  • Hematology & Oncology Physician
  • Stockton, CA
  • NPI 1104057827

  Hospice

  Care Compare affiliation
• Phison Huu Pham, MD

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1891258422

  Hospice

  Care Compare affiliation
• Garfield Cameron Pickell, M. D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Modesto, CA
  • NPI 1154428621

  Hospice

  Care Compare affiliation
• Diana Superfin, M.D.

  • Hematology & Oncology Physician
  • Walnut Creek, CA
  • NPI 1750365953

  Hospice

  Care Compare affiliation
• Pratap Singh, MD

  • Internal Medicine Physician
  • Bedford, IN
  • NPI 1679675094

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1134559032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 CHERRY LN STE 107&108",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953374311",
            "telephone_number": "866-634-2333",
            "fax_number": "408-521-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 CHERRY LN STE 107&108",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953374311",
            "telephone_number": "866-634-2333",
            "fax_number": "408-521-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN CAREQUEST EAST BAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "LEVSKY",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "866-634-2333"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "550002819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "National Hospice and Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "National Hospice and Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lorenzo Alvarez, PHARMD
• Ruben Edward Alvarez
• Shelby G Alvarez, PTA
• Chloe Elizabeth Amabile
• Isabel Christina Amancio, LMFT
• Mehrdad M.R. Amirhamzeh, M.D.
• Awnie A Ammar, D.D.S.
• Travita Marie Amos, NP
• Clarissa Andrade
• Jonathan Andrade

• Community Based Hospice Care Agency in Manteca, CA
• Providers in Manteca, 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 Oct 26, 2021; 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.