Active NPI
Gamma Hospice Care Inc.
- Community Based Hospice Care Agency
- Anaheim, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- GAMMA HOSPICE CARE INC.
- Practice address
- 234 S Monument St
Anaheim, CA 92804-2214 - Phone
- (714) 425-5620
- NPI assigned
- Nov 30, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ahmed Rashid Saad Allah
- Title
- Ceo
- Phone
- (714) 723-0146
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
234 S Monument St
Anaheim, CA 92804-2214
Mailing address
234 S Monument St
Anaheim, CA 92804-2214
Phone (714) 425-5620
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201218000154 | CA | Part A Provider - Hospice | 8426460346 | Practice locations: Los Angeles, CA |
Hospice certification: CCN B31690
- Legal name
- GAMMA HOSPICE CARE INC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Mar 2, 2022
- Last certification
- Mar 2, 2022
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- Nov 16, 2020 in CA
- Enrollment address
- 3111 Los Feliz Blvd
Ste 108
Los Angeles, CA 90039-1599
Care Compare: Hospice
Medicare Care Compare- Listed as
- Gamma Hospice Care, Inc
- Certified
- Mar 2, 2022
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
10568 Magnolia Ave
Ste 125
Anaheim, CA 92804
Phone (714) 257-5620
1807 W Katella Ave
Ste 215
Anaheim, CA 92804
Phone (714) 257-5820
3111 Los Feliz Blvd
Ste 108
Los Angeles, CA 90039
Phone (323) 662-2600
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Lilian Villareal | 5% Or Greater Direct Ownership Interest | Nov 3, 2022 | 50% |
| Corporate Officer | Nov 3, 2022 | 50% | |
| Corporate Director | Nov 3, 2022 | 50% | |
| W-2 Managing Employee | Nov 3, 2022 | ||
| Kamyar Kamjoo | Contracted Managing Employee | Jul 23, 2023 | |
| Alberto Abundo | 5% Or Greater Direct Ownership Interest | Nov 3, 2022 | 50% |
| Corporate Officer | Nov 3, 2022 | 50% | |
| Corporate Director | Nov 3, 2022 | 50% | |
| W-2 Managing Employee | Nov 3, 2022 | 50% |
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 2
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": "1606694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1606694400000",
"number": "1346844305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "234 S MONUMENT ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928042214",
"telephone_number": "714-425-5620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 S MONUMENT ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928042214",
"telephone_number": "714-425-5620"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GAMMA HOSPICE CARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-30",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A",
"authorized_official_last_name": "SAAD ALLAH",
"authorized_official_first_name": "AHMED",
"authorized_official_middle_name": "RASHID",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "714-723-0146"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.