Active NPI
Calstro Hospice Inc.
- Community Based Hospice Care Agency
- Montclair, CA
National Provider Identifier
1245603109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- CALSTRO HOSPICE INC.
- Practice address
- 4959 Palo Verde St Ste 108B
Montclair, CA 91763-2323 - Phone
- (909) 399-0700
- Fax
- (909) 399-0733
- NPI assigned
- Nov 2, 2015
- Last updated
- Aug 15, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Oscar Caldera, RN
- Title
- Ceo/President
- Phone
- (909) 399-0700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
4959 Palo Verde St Ste 108B
Montclair, CA 91763-2323
Mailing address
4959 Palo Verde St Ste 108B
Montclair, CA 91763-2323
Phone (909) 399-0700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160125002223 | CA | Part A Provider - Hospice | 5193028140 | Practice locations: Montclair, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1245603109. Details of each certification follow.
Hospice certification: CCN 921600
- Legal name
- CALSTRO HOSPICE INC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Mar 20, 2017
- Last certification
- Nov 15, 2019
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- Aug 27, 2018 in CA
- Enrollment address
- 4959 Palo Verde St
Ste 108B
Montclair, CA 91763-2331
Care Compare: Hospice
Medicare Care Compare- Listed as
- Calstro Hospice Inc
- Ownership
- For-Profit
- Certified
- Mar 20, 2017
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2112980 | Calstro Hospice Inc | Certificate of waiver | May 11, 2028 |
National Provider Directory
National Provider DirectoryLocations
4959 Palo Verde St
Ste 108B
Montclair, CA 91763
Phone (909) 399-0700
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Timothy G McNaughton | Contracted Managing Employee | Oct 1, 2025 | 20% |
| Amarish Pradhan | Contracted Managing Employee | Oct 1, 2025 | 10% |
| Lizbeth Pacheco | W-2 Managing Employee | Sep 1, 2025 | 25% |
| Robert a. Deville | W-2 Managing Employee | Sep 1, 2025 | 25% |
| Oscar Ivan Caldera | 5% Or Greater Direct Ownership Interest | Aug 27, 2015 | 50% |
| Corporate Officer | Aug 27, 2015 | 50% | |
| Corporate Director | Aug 27, 2015 | 50% | |
| Lucas Jehl | W-2 Managing Employee | Sep 1, 2025 | 50% |
| Alex Castro | Contracted Managing Employee | Sep 1, 2025 | 10% |
| 5% Or Greater Direct Ownership Interest | Aug 27, 2015 | 50% | |
| Corporate Officer | Aug 27, 2015 | 50% | |
| Corporate Director | Aug 27, 2015 | 50% |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- General Practice Physician
- Apple Valley, CA
- NPI 1124062039
Contracted Managing Employee
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1427180496
Contracted Managing Employee
Practitioners & affiliated clinicians
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.
-
- Registered Nurse
- Riverside, CA
- NPI 1679955942
Affiliated clinicians 10
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Loma Linda, CA
- NPI 1225063092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755216000000",
"number": "1245603109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4959 PALO VERDE ST STE 108B",
"city": "MONTCLAIR",
"state": "CA",
"postal_code": "917632323",
"telephone_number": "909-399-0700",
"fax_number": "909-399-0733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4959 PALO VERDE ST STE 108B",
"city": "MONTCLAIR",
"state": "CA",
"postal_code": "917632323",
"telephone_number": "909-399-0700",
"fax_number": "909-399-0733"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CALSTRO HOSPICE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-02",
"last_updated": "2025-08-15",
"certification_date": "2025-08-15",
"status": "A",
"authorized_official_last_name": "CALDERA",
"authorized_official_first_name": "OSCAR",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "909-399-0700",
"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": []
}Other providers in Montclair, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.