Organization Active NPI

Gamma Hospice, Inc.

  • Community Based Hospice Care Agency
  • El Monte, CA
National Provider Identifier
1265089841
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
GAMMA HOSPICE, INC.
Doing business as
Gamma Hospice, Inc.
Practice address
11100 Valley Blvd Ste 106
El Monte, CA 91731-2533
Phone
(747) 205-0025
Fax
(747) 205-0031
NPI assigned
Aug 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Authorized official

Name
Jayson Wertz
Title
Ceo/President
Phone
(747) 205-0025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

11100 Valley Blvd Ste 106
El Monte, CA 91731-2533

Mailing address

11100 Valley Blvd Ste 106
El Monte, CA 91731-2533
Phone (747) 205-0025

Other names 1

  • GAMMA HOSPICE, INC. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191024003005 CA Part A Provider - Hospice 9739411794 Practice locations: El Monte, CA

Hospice certification: CCN A11632

Legal name
GAMMA HOSPICE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 16, 2020
Last certification
Oct 16, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Sep 12, 2018 in CA
Enrollment address
11100 Valley Blvd
Ste 106
El Monte, CA 91731-2533

Care Compare: Hospice

Medicare Care Compare
Listed as
Gamma Hospice, IncCCN A11632 ยท All quality measures
Ownership
For-Profit
Certified
Oct 16, 2020
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

11100 Valley Blvd
Ste 106
El Monte, CA 91731
Phone (747) 205-0025

433 W Colorado St
Ste A
Glendale, CA 91204
Phone (747) 205-0025

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jayson M Wertz Individual 5% Or Greater Direct Ownership InterestCeo/Cfo/Secretary Feb 25, 2022 100%
Corporate OfficerCeo/Cfo/Secretary Feb 25, 2022 100%
Corporate DirectorCeo/Cfo/Secretary Feb 25, 2022 100%
W-2 Managing EmployeeCeo/Cfo/Secretary Feb 25, 2022 100%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1265089841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 VALLEY BLVD STE 106",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312533",
            "telephone_number": "747-205-0025",
            "fax_number": "747-205-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 VALLEY BLVD STE 106",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312533",
            "telephone_number": "747-205-0025",
            "fax_number": "747-205-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAMMA HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-20",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "WERTZ",
        "authorized_official_first_name": "JAYSON",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "747-205-0025"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GAMMA HOSPICE, INC.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GAMMA HOSPICE, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Monte, CA

Sources for this page

Verify at the official NPI Registry.