Devina Hospice Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

DEVINA HOSPICE CARE INC

Practice address

24404 South Vermont Ave
Suite 307G
Harbor City, CA 90710-2305

Phone

(714) 642-9562

Fax

(424) 263-4832

NPI assigned

Dec 5, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Ghaussem Nasrollahy, RN

Title

President/Administrator/Don

Phone

(714) 642-9562

Specialties & licenses 1

Addresses

Listed as

Devina Hospice CareCCN 921620

Ownership

For-Profit

Certified

Jan 28, 2017

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1235560947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24404 VERMONT AVE",
            "address_2": "SUITE 307G",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907102313",
            "telephone_number": "714-642-9562",
            "fax_number": "888-814-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24404 SOUTH VERMONT AVE",
            "address_2": "SUITE 307G",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907102305",
            "telephone_number": "714-642-9562",
            "fax_number": "424-263-4832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVINA HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-05",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "NASROLLAHY",
        "authorized_official_first_name": "GHAUSSEM",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR/DON",
        "authorized_official_telephone_number": "714-642-9562",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omar Deleon, PHARM.D.
• Emily Delf, M.D.
• Natalia Delgado
• Danielle Deocampo
• Dominique Derse
• Jonathan Diaz, MD, MPH
• Annie M. Diego, MD
• Holly Nguyen Diep, MD
• Emilie Y Dill
• Jehan Galvez Dinio

• Community Based Hospice Care Agency in Harbor City, CA
• Providers in Harbor City, 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 Jul 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.