Organization Active NPI

Optimal Hospice, Inc.

  • Community Based Hospice Care Agency
  • Fresno, CA
National Provider Identifier
1164590089
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
100000782 Issued in CA
Legal business name
OPTIMAL HOSPICE, INC.
Practice address
2787 W Bullard Ave Ste 101
Fresno, CA 93711-2273
Phone
(559) 320-4000
Fax
(559) 320-4004
NPI assigned
Nov 30, 2006
Organization subpart
Yes
Parent organization
OPTIMAL HEALTH SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Authorized official

Name
Alex Mauricio
Title
Ceo
Phone
(801) 325-0175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 100000782 CA Primary

Addresses

Primary practice location

2787 W Bullard Ave Ste 101
Fresno, CA 93711-2273

Mailing address

206 N 2100 W Ste 202
Salt Lake City, UT 84116-4741
Phone (801) 325-0175

Other identifiers 1

IdentifierTypeStateIssuer
HPC01769FMedicaidCA

Other names 1

  • Bristol Hospice - Fresno Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040330001506 CA Part A Provider - Hospice 6507858735 Practice locations: Fresno, CA; Visalia, CA

Hospice certification: CCN 051769

Legal name
OPTIMAL HOSPICE, INC.
Doing business as
BRISTOL HOSPICE - FRESNO
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 15, 2004
Last certification
Jun 19, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Apr 22, 1998 in CA
Enrollment address
2787 W Bullard Ave
Ste 101
Fresno, CA 93711-2273

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Bristol Hospice FresnoCCN 051769
Ownership
For-Profit
Certified
Jul 15, 2004
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2246309Optimal Hospice Inc2787 W Bullard Ave, Ste 101, Fresno, CA 93711Certificate of waiverDec 21, 2027

National Provider Directory

National Provider Directory
Tax ID family
Optimal Hospice Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

4900 California Ave
Ste 110A
Bakersfield, CA 93309
Phone (661) 716-4000

4700 Stockdale Hwy
Ste 120
Bakersfield, CA 93309
Phone (661) 716-4000

6780 N West Ave
Ste 101
Fresno, CA 93711
Phone (559) 320-4000

6760 N West Ave
Ste 103
Fresno, CA 93711
Phone (559) 226-6701

2787 W Bullard Ave
Ste 101
Fresno, CA 93711
Phone (559) 320-4000

6770 N West Ave
Ste 105
Fresno, CA 93711
Phone (559) 281-4285

6504 Lake Isabella Blvd
Ste E
Lake Isabella, CA 93240
Phone (760) 795-5038

6504 Lake Isabella Blvd
#D
Lake Isabella, CA 93240

44151 15th St W
#201
Lancaster, CA 93534
Phone (661) 674-3300

1101 Sylvan Ave
Ste A25
Modesto, CA 95350
Phone (209) 338-3000

1653 Triangle Dr
Ridgecrest, CA 93555
Phone (760) 499-3617

3375 Scott Blvd
Ste 410
Santa Clara, CA 95054
Phone (408) 207-9222

3375 Scott Blvd
Ste 310
Santa Clara, CA 95054
Phone (408) 207-9222

3461 Brookside Rd
Ste A2
Stockton, CA 95219
Phone (209) 670-8000

5429 W De las Robles
Ste D
Visalia, CA 93291

430 W Caldwell Ave
Ste C
Visalia, CA 93277
Phone (559) 741-7220

2439 W Whitendale Ave
Ste B
Visalia, CA 93277
Phone (559) 741-7220

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Bristol Hospice Holdings Inc Organization, Salt Lake City, UT Corporation, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 13, 2018 100%
Optimal Health Services, Inc. Organization, Salt Lake City, UT Corporation, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2004 100%
Alex Edward Mauricio Individual Corporate OfficerPresident & Ceo Jan 1, 2023
Corporate DirectorDirector Jan 1, 2023
Operational/Managerial ControlCeo/President Jan 1, 2023
Webster Equity Partners Bristol CF LP Organization, Waltham, MA Private equity company 5% Or Greater Indirect Ownership Interest Jan 25, 2022 69.8%
John Charles Garbarino Individual Corporate OfficerTreasurer/Secretary Sep 1, 2023
Corporate DirectorDirector Jul 13, 2018
Webster Equity Partners IV Bristol CF LP Organization, Waltham, MA Holding company 5% Or Greater Indirect Ownership Interest Jan 25, 2022 6.43%
Michael Derrick Individual Corporate OfficerCfo Sep 1, 2023
Betty J Brennan Individual Corporate DirectorDirector Jul 13, 2018
Owen C Kim Individual Contracted Managing EmployeeMD; May 17, 2018
Bristol Ultimate Holdco, LP Organization, Salt Lake City, UT Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 25, 2022 100%
Hyrum Kirton Individual Corporate DirectorDirector Oct 26, 2020
Aware Super Pty, LTD. Organization, Sydney, IN Investment firm 5% Or Greater Indirect Ownership Interest Jan 24, 2022 8.28%
James Ramos Individual W-2 Managing EmployeeAd; Jan 10, 2024
Bristol Hospice, L.L.C. Organization, Salt Lake City, UT LLC, Chain home office, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 13, 2018 100%
Alireza Soleimani Fard Individual Contracted Managing EmployeeMD; Feb 1, 2019
Bristol Hospice Topco Inc Organization, Salt Lake City, UT Corporation, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2017 100%
Mee Yang Individual W-2 Managing EmployeeAd; Sep 1, 2023 100%
David a Malm Individual Corporate OfficerVice President Sep 1, 2023
Corporate DirectorDirector Jul 13, 2018

Owners & managing parties with NPI records 2

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

Facilities with the same owner 52

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 52

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771804800000",
    "number": "1164590089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N 2100 W STE 202",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841164741",
            "telephone_number": "801-325-0175",
            "fax_number": "801-478-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2787 W BULLARD AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937112273",
            "telephone_number": "559-320-4000",
            "fax_number": "559-320-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL HOSPICE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPTIMAL HEALTH SERVICES, INC.",
        "enumeration_date": "2006-11-30",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A",
        "authorized_official_last_name": "MAURICIO",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-325-0175"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "100000782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HPC01769F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bristol Hospice - Fresno",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.