Aveeva Hospice - South

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

AVEEVA HOSPICE - SOUTH

Practice address

41197 Golden Gate Cir Ste 109
Murrieta, CA 92562-6999

Phone

(951) 405-3013

Fax

(951) 405-3013

NPI assigned

Oct 22, 2020

Organization subpart

No

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

Authorized official

Name

Jon H Estanislao

Title

Administrator

Phone

(951) 405-3013

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B31626

Legal name

AVEEVA HOSPICE - SOUTH

Certification status

Active

Provider type (POS)

Hospice

Participating since

Nov 5, 2021

Last certification

Nov 5, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Oct 8, 2020 in CA

Enrollment address

41197 Golden Gate Cir
Ste 109
Murrieta, CA 92562-6999

Listed as

Aveeva Hospice - SouthCCN B31626

Certified

Nov 5, 2021

Medicare certification status

ActiveFrom the Provider of Services file

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

All disclosed owners & managing parties 3

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

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Anna Sabrina Paningbatan, NP

  • Family Nurse Practitioner
  • Riverside, CA
  • NPI 1063015162

  5% Or Greater Direct Ownership Interest, Corporate Director, W-2 Managing Employee

  CMS ownership
• Andro Sharobiem, M.D.

  • Internal Medicine Physician
  • Riverside, CA
  • NPI 1073711453

  5% Or Greater Direct Ownership Interest, Corporate Director

  CMS ownership

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777161600000",
    "number": "1336748201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 638",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917730638",
            "telephone_number": "951-405-3013",
            "fax_number": "951-405-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41197 GOLDEN GATE CIR STE 109",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925626999",
            "telephone_number": "951-405-3013",
            "fax_number": "951-405-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVEEVA HOSPICE - SOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2026-04-26",
        "certification_date": "2026-04-26",
        "status": "A",
        "authorized_official_last_name": "ESTANISLAO",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "951-405-3013"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Elizabeth Lorraine Avazian, DPT
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• Cailey Avila
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• Meldy Y Avila, NP
• Deborah Anne Axene, DMD

• Community Based Hospice Care Agency in Murrieta, CA
• Providers in Murrieta, 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 26, 2026; 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.