Pacific Hospice Care Corporation

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PACIFIC HOSPICE CARE CORPORATION

Practice address

2520 W 6TH St
201
Los Angeles, CA 90057-3174

Phone

(213) 382-3835

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Zakhar Vaynerov

Title

Ceo

Phone

(213) 382-3835

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gwendolyn Delosie Sampson Brown, RN, DNP

  • Registered Nurse
  • Rio Vista, CA
  • NPI 1992404495
  NPD

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235282773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 W 6TH ST",
            "address_2": "201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 W 6TH ST",
            "address_2": "201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573174",
            "telephone_number": "213-382-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC HOSPICE CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAYNEROV",
        "authorized_official_first_name": "ZAKHAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-382-3835"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HPC01768F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pacific Gen LLC
• Pacific Healing Center, Inc.
• Pacific Health Services, Inc.
• Pacific Hearing , Inc
• Pacific Hearing & Balance., Inc
• Pacific Hospitalists, Inc.
• Pacific MRI a Nursing Corporation
• Pacific Neuroscience Institute Medical Group Inc
• Pacific Ocean Dental Group,Hyun Sook Lim Dental Corporation (Pacific Ocean Dental Group)
• Pacific Ocean Medical Clinic

• Community Based Hospice Care Agency in Los Angeles, CA
• Providers in Los Angeles, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.