Canyon Oaks Hospice & Palliative Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CANYON OAKS HOSPICE & PALLIATIVE CARE, INC.

Practice address

99 N San Antonio Ave Ste 335E
Upland, CA 91786-4575

Phone

(909) 321-2255

Fax

(909) 755-0375

NPI assigned

Apr 22, 2021

Organization subpart

No

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

Authorized official

Name

Tae Nam

Title

Ceo

Phone

(909) 755-0281

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1295317915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 N SAN ANTONIO AVE STE 335E",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864575",
            "telephone_number": "909-321-2255",
            "fax_number": "909-755-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 N SAN ANTONIO AVE STE 335E",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864575",
            "telephone_number": "909-321-2255",
            "fax_number": "909-755-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON OAKS HOSPICE & PALLIATIVE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "NAM",
        "authorized_official_first_name": "TAE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-755-0281"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.GMAIL.COM",
            "affiliation": "N",
            "address_1": "99 N San Antonio Ave Ste 335E",
            "city": "Upland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917864575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Victor Manuel Campos, FNP
• Frank Paul Canavan, PA-C
• Carlos R Canizales, MD
• Michelle Faith Cantrell
• Maria Magdalena Cantu-Romo, TH.M., M.S., LMFT
• Rafael Capacete
• Alexandria Capetillo
• Martha Lucia Cardona
• Care for Women'S Medical Group Inc.
• Care for Womens Medical Group Inc

• Community Based Hospice Care Agency in Upland, CA
• Providers in Upland, 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 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.