Organization Active NPI

Wishes Hospice Care Corporation

  • Community Based Hospice Care Agency
  • Fullerton, CA
National Provider Identifier
1295321065
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
WISHES HOSPICE CARE CORPORATION
Practice address
1440 N Harbor Blvd Ste 100a
Fullerton, CA 92835-4114
Phone
(714) 829-8903
NPI assigned
Dec 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Authorized official

Name
Marck Anton S Tamayo
Title
Administrator
Phone
(714) 829-8903

Specialties & licenses 1

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

Addresses

Primary practice location

1440 N Harbor Blvd Ste 100a
Fullerton, CA 92835-4114

Mailing address

1440 N Harbor Blvd Ste 100a
Fullerton, CA 92835-4114

National Provider Directory

National Provider Directory

Locations

1440 N Harbor Blvd
Ste 100A
Fullerton, CA 92835
Phone (714) 829-8903

NPI Registry JSON

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608076800000",
    "number": "1295321065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 N HARBOR BLVD STE 100A",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 N HARBOR BLVD STE 100A",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354114",
            "telephone_number": "714-829-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISHES HOSPICE CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A",
        "authorized_official_last_name": "TAMAYO",
        "authorized_official_first_name": "MARCK ANTON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "714-829-8903"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.