Organization Active NPI

Pristine Hospice Inc

  • Community Based Hospice Care Agency
  • Upland, CA
National Provider Identifier
1477176204
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
PRISTINE HOSPICE INC
Practice address
400 N Mountain Ave Ste 201
Upland, CA 91786-5176
Phone
(310) 595-4831
Fax
(213) 378-2838
NPI assigned
May 27, 2020
Last updated
Sep 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Authorized official

Name
Alan Robert Buan
Title
Ceo / President
Phone
(310) 595-4831

Specialties & licenses 1

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

Addresses

Primary practice location

400 N Mountain Ave Ste 201
Upland, CA 91786-5176

Mailing address

400 N Mountain Ave Ste 123B
Upland, CA 91786-5176
Phone (310) 595-4831

National Provider Directory

National Provider Directory

Locations

400 N Mountain Ave
Ste 123B
Upland, CA 91786
Phone (909) 297-1165

400 N Mountain Ave
Ste 201
Upland, CA 91786
Phone (310) 595-4831

494 N Mountain Ave
Ste 103
Upland, CA 91786

NPI Registry JSON

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1477176204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N MOUNTAIN AVE STE 123B",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865176",
            "telephone_number": "310-595-4831",
            "fax_number": "213-378-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N MOUNTAIN AVE STE 201",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865176",
            "telephone_number": "310-595-4831",
            "fax_number": "213-378-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISTINE HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-27",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "BUAN",
        "authorized_official_first_name": "ALAN ROBERT",
        "authorized_official_title_or_position": "CEO / PRESIDENT",
        "authorized_official_telephone_number": "310-595-4831"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.