Vista Palliative and Hospice Care

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

VISTA PALLIATIVE AND HOSPICE CARE

Practice address

3857 Foothill Blvd Ste 19
La Crescenta, CA 91214-1658

Phone

(818) 245-4420

Fax

(818) 688-0615

NPI assigned

Sep 13, 2021

Organization subpart

No

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

Authorized official

Name

Grigor Oktanian

Title

Ceo, Owner

Phone

(818) 245-4420

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1497424378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3857 FOOTHILL BLVD STE 19",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912141658",
            "telephone_number": "818-245-4420",
            "fax_number": "818-688-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3857 FOOTHILL BLVD STE 19",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912141658",
            "telephone_number": "818-245-4420",
            "fax_number": "818-688-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA PALLIATIVE AND HOSPICE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A",
        "authorized_official_last_name": "OKTANIAN",
        "authorized_official_first_name": "GRIGOR",
        "authorized_official_title_or_position": "CEO, OWNER",
        "authorized_official_telephone_number": "818-245-4420"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in La Crescenta, CA
• Providers in La Crescenta, 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 Sep 13, 2021; 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.