SD Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SD HOSPICE, INC.

Practice address

10620 Treena St Ste 230
San Diego, CA 92131-1140

Phone

(619) 430-2762

Fax

(619) 430-2762

NPI assigned

Sep 18, 2020

Organization subpart

No

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

Authorized official

Name

Sarabjit Anand, FNPNPI 1710425392

Title

Ceo

Phone

(619) 430-2762

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B31721

Legal name

SD HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Feb 1, 2022

Last certification

Feb 1, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Aug 27, 2020 in CA

Enrollment address

10620 Treena St
San Diego, CA 92131-1140

Listed as

SD Hospice IncCCN B31721 · All quality measures

Certified

Feb 1, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 1

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.

• Sarabjit Singh Anand, AGNP-C

  • Nurse Practitioner
  • Bakersfield, CA
  • NPI 1710425392

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, 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.

• Sarabjit Singh Anand, AGNP-C

  • Nurse Practitioner
  • Bakersfield, CA
  • NPI 1710425392
  NPD (past) Authorized official

Affiliated clinicians 1

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

• Mark Noel Samonte, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Carson, CA
  • NPI 1114140233

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600387200000",
    "number": "1508472275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10620 TREENA ST STE 230",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311140",
            "telephone_number": "619-430-2762",
            "fax_number": "619-430-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10620 TREENA ST STE 230",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311140",
            "telephone_number": "619-430-2762",
            "fax_number": "619-430-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SD HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "ANAND",
        "authorized_official_first_name": "SARABJIT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-430-2762",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SD Healthcare RX Inc (Childrens Community Pharmacy)
• SD Healthcare RX Inc (Childrens Community Pharmacy)
• SD Healthcare RX NC (Childrens Community Pharmacy)
• SD Healthcare Solutions
• SD Homecare Services (Synergy Homecare of Scripps Ranch)
• SD Interview
• SD Medical Nutrition Therapy, PC
• SD Medical Solutions LLC
• SD Medical Transport
• SD Neuropsychological Associates

• Community Based Hospice Care Agency in San Diego, CA
• Providers in San Diego, 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 18, 2020; 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.