Organization Active NPI

So Cal Hospice Care,Inc.

  • Community Based Hospice Care Agency
  • North Hollywood, CA
National Provider Identifier
1346610250
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SO CAL HOSPICE CARE,INC.
Practice address
11507 Oxnard St Ste 5
North Hollywood, CA 91606-4186
Phone
(818) 856-8550
Fax
(818) 856-8549
NPI assigned
Oct 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Authorized official

Name
Roman Bagiryan
Title
Ceo
Phone
(818) 505-9500

Specialties & licenses 1

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

Addresses

Primary practice location

11507 Oxnard St Ste 5
North Hollywood, CA 91606-4186

Mailing address

11507 Oxnard St Ste 5
North Hollywood, CA 91606-4186
Phone (818) 505-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170621002808 CA Part A Provider - Hospice 8426326117 Practice locations: North Hollywood, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346610250. Details of each certification follow.

Hospice certification: CCN 921735

Legal name
SO CAL HOSPICE CARE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 14, 2017
Last certification
Jul 28, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Enrollment address
11507 Oxnard St
Unit 5
North Hollywood, CA 91606-4185

Care Compare: Hospice

Medicare Care Compare
Listed as
So Cal Hospice Care, IncCCN 921735 · All quality measures
Ownership
For-Profit
Certified
Dec 14, 2017
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2159897So Cal Hospice Care Inc11507 Oxnard Street #5, North Hollywood, CA 91606Certificate of waiverDec 30, 2026

National Provider Directory

National Provider Directory

Locations

11507 Oxnard St
Ste 5
North Hollywood, CA 91606
Phone (818) 358-3342

Ownership & related parties

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.

NameRoleSinceShare
Nattapaun N Thepyasuwan Individual W-2 Managing EmployeeMD; Mar 20, 2024
Roman Bagiryan Individual 5% Or Greater Direct Ownership InterestCeo Aug 18, 2015 100%
Corporate OfficerCeo Aug 18, 2015 100%
Corporate DirectorCeo Aug 18, 2015 100%
W-2 Managing EmployeeAd;Ceo Aug 18, 2015 100%
Operational/Managerial ControlCeo Aug 18, 2015 100%
Mariam Avagimyan Individual W-2 Managing EmployeeDPCS Aug 1, 2025

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1346610250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11507 OXNARD ST STE 5",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916064186",
            "telephone_number": "818-505-9500",
            "fax_number": "818-505-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11507 OXNARD ST STE 5",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916064186",
            "telephone_number": "818-856-8550",
            "fax_number": "818-856-8549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SO CAL HOSPICE CARE,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-05",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "BAGIRYAN",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-505-9500"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

Verify at the official NPI Registry.