Active NPI
Gamma Hospice, Inc.
- Community Based Hospice Care Agency
- El Monte, CA
National Provider Identifier
1265089841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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, Inc
- Ownership
- For-Profit
- Certified
- Oct 16, 2020
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Jayson M Wertz | 5% Or Greater Direct Ownership Interest | Feb 25, 2022 | 100% |
| Corporate Officer | Feb 25, 2022 | 100% | |
| Corporate Director | Feb 25, 2022 | 100% | |
| W-2 Managing Employee | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.