Serendipite Healthcare Group

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SERENDIPITE HEALTHCARE GROUP

Doing business as

Sunnyside Hospice and Palliative Care

Practice address

12377 Lewis Street Suite 103
Garden Grove, CA 92840-4672

Phone

(714) 203-2051

Fax

(714) 203-6587

NPI assigned

May 18, 2014

Last updated

Mar 6, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kathleen Kiyoe Yano-Pagaduan

Title

Ceo/President/Cfo/Secretary

Phone

(714) 203-2051

Specialties & licenses 1

Addresses

Other names 1

• Sunnyside Hospice and Palliative Care Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1400371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583452800000",
    "number": "1316358880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12377 LEWIS STREET SUITE 103",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404672",
            "telephone_number": "714-203-2051",
            "fax_number": "714-203-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12377 LEWIS STREET SUITE 103",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404672",
            "telephone_number": "714-203-2051",
            "fax_number": "714-203-6587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENDIPITE HEALTHCARE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-18",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A",
        "authorized_official_last_name": "YANO-PAGADUAN",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "KIYOE",
        "authorized_official_title_or_position": "CEO/PRESIDENT/CFO/SECRETARY",
        "authorized_official_telephone_number": "714-203-2051",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunnyside Hospice and Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joohyoung Seo, O.T.
• Julee Seo
• Sunkyo Seo
• Mursal Sepahizada
• Christina Sepulveda
• Serge Obukhov, M.D. PC
• Melanie Sermeno
• Giselle Seron, MD
• Alejandro Serrano Garcia
• Ava Serrano

• Community Based Hospice Care Agency in Garden Grove, CA
• Providers in Garden Grove, 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 Mar 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.