Organization Active NPI

Gamma Hospice Care Inc.

  • Community Based Hospice Care Agency
  • Anaheim, CA
National Provider Identifier
1346844305
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Nov 30, 2020

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, IncCCN B31690 · All quality measures
Certified
Mar 2, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Lilian Villareal Individual 5% Or Greater Direct Ownership Interest Nov 3, 2022 50%
Corporate OfficerBoard Member Nov 3, 2022 50%
Corporate DirectorBoard Member Nov 3, 2022 50%
W-2 Managing EmployeeAd; Nov 3, 2022
Kamyar Kamjoo Individual Contracted Managing EmployeeMD; Jul 23, 2023
Alberto Abundo Individual 5% Or Greater Direct Ownership Interest Nov 3, 2022 50%
Corporate OfficerCeo, Cfo, Secretary Board Member Nov 3, 2022 50%
Corporate DirectorCeo, Cfo, Secretary Board Member Nov 3, 2022 50%
W-2 Managing EmployeeCeo, Cfo, Secretary Board Member 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

Verify at the official NPI Registry.