Nivera Enterprises, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

NIVERA ENTERPRISES, INC

Doing business as

San Gabriel Hospice

Practice address

1152 E Route 66
Glendora, CA 91740-3773

Phone

(626) 335-2171

Fax

(866) 872-9579

NPI assigned

Mar 18, 2012

Organization subpart

No

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

Authorized official

Name

April Gayle Dy Buco

Title

Ceo

Phone

(562) 474-1443

Specialties & licenses 1

Addresses

Other names 1

• San Gabriel Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN 751546

Legal name

NIVERA ENTERPRISES, INC.

Doing business as

SAN GABRIEL HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Nov 1, 2013

Last certification

Oct 3, 2019

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jul 19, 2004 in CA

Enrollment address

1152E Route 66
Glendora, CA 91740-3773

Listed as

San Gabriel HospiceCCN 751546 · All quality measures

Ownership

For-Profit

Certified

Nov 1, 2013

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 3

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 2

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

• Hani Adiep Benyamin-Ajaipi

  • Internal Medicine Physician
  • Los Alamitos, CA
  • NPI 1770783896

  Contracted Managing Employee

  CMS ownership
• Jigar Kadakia, M.D.

  • Hospitalist Physician
  • Sherman Oaks, CA
  • NPI 1144502618

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 1

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

• Jigar Kadakia, M.D.

  • Hospitalist Physician
  • Sherman Oaks, CA
  • NPI 1144502618

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1332028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1194090563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1152 E ROUTE 66",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917403773",
            "telephone_number": "626-335-2171",
            "fax_number": "866-872-9579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1152 E ROUTE 66",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917403773",
            "telephone_number": "626-335-2171",
            "fax_number": "866-872-9579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIVERA ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-18",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "DY BUCO",
        "authorized_official_first_name": "APRIL GAYLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-474-1443"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Gabriel Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "San Gabriel Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Nhan, PHARM D
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• Christine Taylor Nowak, PMHNP-BC

• Community Based Hospice Care Agency in Glendora, CA
• Providers in Glendora, 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 Sep 3, 2025; 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.