Desert View Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

DESERT VIEW HOSPICE, INC.

Practice address

15402 W Sage St Ste 206
Victorville, CA 92392-2355

Phone

(909) 971-4025

Fax

(877) 798-2300

NPI assigned

Apr 15, 2019

Last updated

Apr 15, 2019By 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

Mr. Shehzad S. Ahmed

Title

Administrator/Ceo

Phone

(909) 971-4025

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 1235792391. Details of each certification follow.

• CCN A01763 Hospice · Active · Details

Hospice certification: CCN A01763

Legal name

DESERT VIEW HOSPICE, INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

May 30, 2020

Last certification

May 30, 2020

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jun 8, 2018 in CA

Enrollment address

14338 Park Ave
Ste 4
Victorville, CA 92392-2341

Listed as

Desert View Hospice, IncCCN A01763 · All quality measures

Ownership

For-Profit

Certified

May 30, 2020

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 1

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

• Onkarjit Singh Marwah, M.D.

  • Cardiovascular Disease Physician
  • Glendale, CA
  • NPI 1255314514

  Corporate Director

  CMS ownership

Affiliated clinicians 1

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

• Syed Muhammad Hammad Rizvi, MD

  • Family Medicine Physician
  • Upland, CA
  • NPI 1669677365

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555286400000",
    "number": "1235792391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15402 W SAGE ST STE 206",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923922355",
            "telephone_number": "909-971-4025",
            "fax_number": "877-798-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15402 W SAGE ST STE 206",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923922355",
            "telephone_number": "909-971-4025",
            "fax_number": "877-798-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT VIEW HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-15",
        "last_updated": "2019-04-15",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SHEHZAD",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "ADMINISTRATOR/CEO",
        "authorized_official_telephone_number": "909-971-4025",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desert Valley Medical Group, Inc.
• Desert Valley Medical Group, Inc.
• Desert Valley Medical Group, Inc.
• Desert Valley Medical Transport Inc (American Medical Response)
• Desert View Endoscopy Center, LLC.
• Desert Vista Anesthesiology Medical Group, Inc.
• Desert Wind Hospice, Inc.
• Angellena Laval Desousa, LVN
• Ashley Deveze
• Deandra Devine

• Community Based Hospice Care Agency in Victorville, CA
• Providers in Victorville, 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 15, 2019; 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.