Organization Active NPI

Bristol Hospice - California, LLC

  • Community Based Hospice Care Agency
  • Merced, CA
National Provider Identifier
1487603452
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
BRISTOL HOSPICE - CALIFORNIA, LLC
Practice address
374 E Yosemite Ave
Suite 200
Merced, CA 95340
Phone
(801) 596-8844
NPI assigned
May 8, 2006
Last updated
Sep 24, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
BRISTOL HOSPICE, L.L.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Authorized official

Name
Alex Mauricio
Title
President/Ceo
Phone
(801) 325-0175

Specialties & licenses 1

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

Addresses

Primary practice location

374 E Yosemite Ave
Suite 200
Merced, CA 95340

Mailing address

206 N 2100 W Ste 202
SLC, UT 84116-4741
Phone (801) 325-0175

Other identifiers 1

IdentifierTypeStateIssuer
HPC51501FMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060707000152 CA Part A Provider - Hospice 8921010182 Practice locations: Merced, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487603452. Details of each certification follow.

Hospice certification: CCN 551501

Legal name
BRISTOL HOSPICE - CALIFORNIA LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 8, 2007
Last certification
Dec 21, 2018
Ownership / control type
Other
Organization structure
LLCProprietary
Incorporated
Mar 8, 2007 in UT
Enrollment address
374 E Yosemite Ave
Ste 200
Merced, CA 95340-9202

Care Compare: Hospice

Medicare Care Compare
Listed as
Bristol Hospice-California, LLCCCN 551501 · All quality measures
Ownership
Other
Certified
Mar 8, 2007
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1058664Bristol Hospice - California, LLC374 E Yosemite Ave, Ste 200, Merced, CA 95340Certificate of waiverSep 11, 2026

National Provider Directory

National Provider Directory
Part of
Bristol Hospice LLC

Locations

374 E Yosemite Ave
Ste 200
Merced, CA 95340
Phone (209) 325-0700

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Bristol Hospice Holdings Inc Organization, Salt Lake City, UT Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2017 100%
Alex Edward Mauricio Individual Corporate OfficerPresident & Ceo Jan 1, 2023
Corporate DirectorDirector Jan 1, 2023
Webster Equity Partners Bristol CF LP Organization, Waltham, MA Private equity company 5% Or Greater Indirect Ownership Interest Sep 1, 2023 69.8%
John Charles Garbarino Individual Corporate OfficerTreasurer/Secretary Jul 18, 2017
Corporate DirectorDirector Jul 18, 2017
Webster Equity Partners IV Bristol CF LP Organization, Waltham, MA Private equity company 5% Or Greater Indirect Ownership Interest Sep 1, 2023 5.72%
Amritpal S Pannu Individual Contracted Managing EmployeeMedical Director Aug 10, 2023
Michael Derrick Individual Corporate OfficerCfo Sep 1, 2023
Betty J Brennan Individual Corporate DirectorDirector Jul 13, 2018
Bristol Ultimate Holdco, LP Organization, Salt Lake City, UT Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 1, 2023 100%
Hyrum Kirton Individual Corporate DirectorDirector Oct 26, 2020
Aware Super Pty, LTD. Organization, Sydney, IN Investment firm 5% Or Greater Indirect Ownership Interest Jan 24, 2022 8.28%
David Chavez Individual W-2 Managing EmployeeAd; Oct 1, 2022
Bristol Hospice, L.L.C. Organization, Salt Lake City, UT LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 25, 2006 100%
Bristol Hospice Topco Inc Organization, Salt Lake City, UT Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2017 100%
David a Malm Individual Corporate OfficerVice President Jul 18, 2017
Corporate DirectorDirector Jul 18, 2017

Owners & managing parties with NPI records 1

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

Facilities with the same owner 52

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 52

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 3

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": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1487603452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N 2100 W STE 202",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841164741",
            "telephone_number": "801-325-0175",
            "fax_number": "801-478-3588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 E YOSEMITE AVE",
            "address_2": "SUITE 200",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "95340",
            "telephone_number": "801-596-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTOL HOSPICE - CALIFORNIA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRISTOL HOSPICE, L.L.C.",
        "enumeration_date": "2006-05-08",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A",
        "authorized_official_last_name": "MAURICIO",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "801-325-0175"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HPC51501F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.