Los Feliz Hospice Health Care

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

550002424 Issued in CA

Legal business name

LOS FELIZ HOSPICE HEALTH CARE

Practice address

790 Beaumont Ave Ste 122
Beaumont, CA 92223-5900

Phone

(951) 485-7800

Fax

(800) 853-5460

NPI assigned

Sep 7, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Melba Valdevieso

Title

Ceo

Phone

(909) 396-0240

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN 751551

Legal name

LOS FELIZ HOSPICE HEALTH CARE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 26, 2014

Last certification

May 28, 2020

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Enrollment address

790 Beaumont Ave
Ste 122
Beaumont, CA 92223-5900

Listed as

Los Feliz Hospice Health CareCCN 751551 · All quality measures

Ownership

For-Profit

Certified

Jun 26, 2014

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 2

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 1

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

• Hung M Nguyen, D.O.

  • Family Medicine Physician
  • Orange, CA
  • NPI 1447284526

  Contracted Managing Employee

  CMS ownership

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1366723181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 BEAUMONT AVE STE 122",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922235900",
            "telephone_number": "951-485-7800",
            "fax_number": "800-853-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 BEAUMONT AVE STE 122",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922235900",
            "telephone_number": "951-485-7800",
            "fax_number": "800-853-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS FELIZ HOSPICE HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-07",
        "last_updated": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "VALDEVIESO",
        "authorized_official_first_name": "MELBA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-396-0240",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "550002424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Lynn Llera
• Jordyn Evette Logan-Johnson
• Loma Linda University Radiation Medicine
• Loma Linda University Urology Medical Group, Inc.
• Edward John Lopez
• Khanh Luong, AS PT (PTA)
• Tammi Magie, COTA
• Nancy Mwende Malika
• Mariam Moghadam, M.D., Inc.
• Tiffany Markham, RN

• Community Based Hospice Care Agency in Beaumont, CA
• Providers in Beaumont, 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 Jan 29, 2024; 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.