Organization Active NPI

Peaceful Palliative Care, Inc.

  • Community Based Hospice Care Agency
  • San Diego, CA
National Provider Identifier
1508468539
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
PEACEFUL PALLIATIVE CARE, INC.
Practice address
8400 Miramar Rd Ste 243C
San Diego, CA 92126-4387
Phone
(619) 798-7019
NPI assigned
Nov 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Authorized official

Name
Mr. Ryan Mohammed
Title
Ceo
Phone
(619) 798-7019

Specialties & licenses 1

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

Addresses

Primary practice location

8400 Miramar Rd Ste 243C
San Diego, CA 92126-4387

Mailing address

8400 Miramar Rd Ste 243C
San Diego, CA 92126-4387
Phone (619) 798-7019

National Provider Directory

National Provider Directory

Locations

8400 Miramar Rd
Ste 243C
San Diego, CA 92126
Phone (619) 798-7019

NPI Registry JSON

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605225600000",
    "number": "1508468539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 MIRAMAR RD STE 243C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264387",
            "telephone_number": "619-798-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 MIRAMAR RD STE 243C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264387",
            "telephone_number": "619-798-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL PALLIATIVE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-798-7019",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.