Medvista Healthcare Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MEDVISTA HEALTHCARE INC.

Practice address

25 Edwards CT Ste 206
Burlingame, CA 94010-2424

Phone

(510) 398-8688

NPI assigned

Dec 12, 2017

Last updated

Apr 30, 2024By 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

Mariya Bilyak

Title

President

Phone

(510) 398-8688

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164937165. Details of each certification follow.

• CCN A01772 Hospice · Active · Details

Hospice certification: CCN A01772

Legal name

MEDVISTA HEALTHCARE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 6, 2020

Last certification

Aug 6, 2020

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Apr 7, 2017 in CA

Enrollment address

22527 Main St
Ste 205
Hayward, CA 94541-4134

Listed as

Medvista Healthcare, IncCCN A01772 · All quality measures

Ownership

For-Profit

Certified

Aug 6, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 1

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

Affiliated clinicians 2

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

• Nani Kanen

  • Internal Medicine Physician
  • Burlingame, CA
  • NPI 1548358435

  Hospice

  Care Compare affiliation
• Andrew Wang, M.D

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1164439675

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1164937165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 EDWARDS CT STE 206",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940102424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 EDWARDS CT STE 206",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940102424",
            "telephone_number": "510-398-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDVISTA HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-12",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "BILYAK",
        "authorized_official_first_name": "MARIYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-398-8688"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Renee McMorrow, M.A.
• Carlos Couto Medeiros, ATC
• Medical Imaging Specialists Ca Inc
• Elizabeth Mary Medina, AG ACNP-BC
• Marianna M Mednikov
• Masude Sadiq Mehdavi, DO
• Ardeshir Mehran Mehran
• Chhavi Mehta, MD
• Robert Henry Meints, MD
• Janet L Meiselman, PSYD

• Community Based Hospice Care Agency in Burlingame, CA
• Providers in Burlingame, 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 Apr 30, 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.