Sierra Hospice Care,Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SIERRA HOSPICE CARE,INC.

Practice address

1063 N. Chicago St.
Suite # 202
Los Angeles, CA 90033-1353

Phone

(323) 223-8582

Fax

(323) 223-8592

NPI assigned

Aug 19, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Young Sim Park, REGISTERED NURSE

Title

Ceo/Administrator

Phone

(323) 223-8582

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN 551687

Legal name

SIERRA HOSPICE CARE,INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 22, 2012

Last certification

Nov 4, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jun 13, 2007 in CA

Enrollment address

222 N Harvard Blvd
Los Angeles, CA 90004-4319

Listed as

Sierra Hospice Care, IncCCN 551687 · All quality measures

Ownership

For-Profit

Certified

Jun 22, 2012

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 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.

• Rodolfo Baguinguito Protacio, M.D.

  • Internal Medicine Physician
  • Glendale, CA
  • NPI 1154320836

  W-2 Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rodolfo Baguinguito Protacio, M.D.

  • Internal Medicine Physician
  • Glendale, CA
  • NPI 1154320836
  NPD (past)

Affiliated clinicians 2

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

• Edwin H Choi, MD

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1245273820

  Hospice

  Care Compare affiliation
• Hung M Nguyen, D.O.

  • Family Medicine Physician
  • Orange, CA
  • NPI 1447284526

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282176000000",
    "number": "1508172289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1063 N. CHICAGO ST.#202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331353",
            "telephone_number": "323-223-8582",
            "fax_number": "323-223-8592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1063 N. CHICAGO ST.",
            "address_2": "SUITE # 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331353",
            "telephone_number": "323-223-8582",
            "fax_number": "323-223-8592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA HOSPICE CARE,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-19",
        "last_updated": "2010-08-19",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_middle_name": "SIM",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "323-223-8582",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Jayne Sieracki
• Sierra Bonita Board and Care Inc
• Sierra Healthcare Partners Inc
• Sierra Home Care, LLC
• Sierra Home Healthcare Services, Inc.
• Sierra K Briscoe Marriage and Family Therapist Professional Corp
• Nicole Kiabeth Sierra Mejia, MA
• Daniela Sierra Miranda
• Sierra RX Inc
• Sierra Surgical Services, LLC

• Community Based Hospice Care Agency in Los Angeles, CA
• Providers in Los Angeles, 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 Aug 19, 2010; 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.