Victoria Hospice Services, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

980001459 Issued in CA

Legal business name

VICTORIA HOSPICE SERVICES, INC

Practice address

12403 Slauson Ave Ste a
Whittier, CA 90606-2831

Phone

(562) 404-2255

Fax

(510) 991-0071

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Mubashir Hassan, MBA

Title

President

Phone

(323) 653-0544

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN 751585

Legal name

VICTORIA HOSPICE SERVICES, INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 20, 2014

Last certification

Jun 24, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jan 17, 2007 in CA

Enrollment address

12403 Slauson Ave
Ste a
Whittier, CA 90606-2831

Listed as

Victoria Hospice Services, IncCCN 751585

Ownership

For-Profit

Certified

Jun 20, 2014

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 1

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

• Nicholas John Jauregui, M.D

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Sierra Madre, CA
  • NPI 1205869807

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 3

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

• Mohammad Umar Farukhi, M.D.

  • Hospitalist Physician
  • Anaheim, CA
  • NPI 1578791661

  Hospice

  Care Compare affiliation
• Nicholas John Jauregui, M.D

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Sierra Madre, CA
  • NPI 1205869807
  Care Compare affiliation
• Edward Meltser, DO

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1124536289

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1386867141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12403 SLAUSON AVE STE A",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906062831",
            "telephone_number": "323-653-0544",
            "fax_number": "323-653-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12403 SLAUSON AVE STE A",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906062831",
            "telephone_number": "562-404-2255",
            "fax_number": "510-991-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA HOSPICE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "MUBASHIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-653-0544",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "980001459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Huskey Vermiglio
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• Debra Ann Vickroy, MFT
• Victor R. Camones DDS Inc
• Vida Family Counseling and Consulting Inc
• Janelle Zuniga Vidal Bogdanovic
• Jayakumar Ravichandran Vidhun, M.D.
• Maryanne Vidrio, BCBA
• Jeannine Vieni, PSYD

• Community Based Hospice Care Agency in Whittier, CA
• Providers in Whittier, 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 Jun 28, 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.