Altair Hospice Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

C3774763 Issued in CA

Legal business name

ALTAIR HOSPICE CARE INC

Practice address

471 Old Newport Blvd Ste 101
Newport Beach, CA 92663-4232

Phone

(818) 766-2306

Fax

(818) 766-2327

NPI assigned

Jan 24, 2017

Organization subpart

No

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

Authorized official

Name

Julie Khudagulyan

Title

Ceo

Phone

(818) 766-2306

Specialties & licenses 1

Addresses

Other names 1

• ASTER PALLIATIVE AND HOSPICE CARE Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN A11663

Legal name

ALTAIR HOSPICE CARE, INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 29, 2020

Last certification

Sep 29, 2020

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Enrollment address

471 Old Newport Blvd
Ste 101
Newport Beach, CA 92663-4232

Listed as

Aster Palliative and Hospice CareCCN A11663

Ownership

For-Profit

Certified

Sep 29, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 7

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.

• John Spillane Burns, M.D.

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1407921737

  Contracted Managing Employee

  CMS ownership
• Niceto Lopez, MD

  • Hospitalist Physician
  • Walnut Creek, CA
  • NPI 1003012931

  Contracted Managing Employee

  CMS ownership

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735344000000",
    "number": "1235676552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 OLD NEWPORT BLVD STE 101",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634232",
            "telephone_number": "818-766-2306",
            "fax_number": "818-766-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 OLD NEWPORT BLVD STE 101",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634232",
            "telephone_number": "818-766-2306",
            "fax_number": "818-766-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTAIR HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-24",
        "last_updated": "2024-12-28",
        "certification_date": "2024-12-28",
        "status": "A",
        "authorized_official_last_name": "KHUDAGULYAN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-766-2306"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "C3774763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASTER PALLIATIVE AND HOSPICE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alotus Medical Center, PC.
• Alpha Primary Care, Inc.
• Noha Alshugairi, M.S, LMFT
• Kaitlin Hope Alsup
• Altair Home Health Care Inc
• Cynthia Karina Altamira
• Russell S. Alterman, D.O.
• Jeff Altman, M.D.
• Jenise Alvarenga
• Maria Irene Alvarez de Schwartz, LMFT 155789

• Community Based Hospice Care Agency in Newport Beach, CA
• Providers in Newport Beach, 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 Dec 28, 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.