Metro Medical Services Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

METRO MEDICAL SERVICES INC.

Practice address

9504 Topanga Canyon Blvd
Ste a
Chatsworth, CA 91311-4011

Phone

(818) 280-3249

Fax

(818) 280-5408

NPI assigned

Jul 26, 2013

Last updated

Apr 18, 2023By 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

Joseph Lawrence D Tanlu

Title

Ceo

Phone

(818) 546-8662

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1326480617. Details of each certification follow.

• CCN 921551 Hospice · Active · Details

Hospice certification: CCN 921551

Legal name

METRO MEDICAL SERVICES INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 28, 2016

Last certification

Jul 31, 2019

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jul 1, 2013 in CA

Enrollment address

9420 Topanga Canyon Blvd
Ste 207
Chatsworth, CA 91311-5759

Listed as

Metro Medical Services, IncCCN 921551 · All quality measures

Ownership

For-Profit

Certified

Aug 28, 2016

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 4

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

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

{
    "created_epoch": "1374796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1326480617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9504 TOPANGA CANYON BLVD",
            "address_2": "STE A",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913114011",
            "telephone_number": "818-280-3249",
            "fax_number": "818-280-5408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9504 TOPANGA CANYON BLVD",
            "address_2": "STE A",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913114011",
            "telephone_number": "818-280-3249",
            "fax_number": "818-280-5408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO MEDICAL SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-26",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "TANLU",
        "authorized_official_first_name": "JOSEPH LAWRENCE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-546-8662"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326480617",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzy Melkonian, MD
• Hannah Michelle Mendes
• Anna Lisette Mendez
• Gabriela Mendivil Perez
• Lisset A Menendez
• Nadine Josephine Michail, LAC
• Robert Minoofar, D.D.S.
• Neda Mary Mirgoli
• Naaz Mirreghabie
• Vikram Mishra, D.D.S

• Community Based Hospice Care Agency in Chatsworth, CA
• Providers in Chatsworth, 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 18, 2023; 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.

Verify at the official NPI Registry.