Golden Star Hospice and Palliative Care

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

GOLDEN STAR HOSPICE AND PALLIATIVE CARE

Practice address

1442 Irvine Blvd Ste 119
Tustin, CA 92780-3845

Phone

(714) 858-2742

Fax

(714) 908-8338

NPI assigned

May 4, 2020

Last updated

Aug 27, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Azad Mohammed

Title

Ceo

Phone

(714) 858-2742

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1518588227. Details of each certification follow.

• CCN B41648 Hospice · Active · Details

Hospice certification: CCN B41648

Legal name

GOLDEN STAR HOSPICE AND PALLIATIVE CARE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 25, 2022

Last certification

Mar 25, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Enrollment address

1442 Irvine Blvd
Ste 119
Tustin, CA 92780-3845

Listed as

Golden Star Hospice and Palliative CareCCN B41648 · All quality measures

Certified

Mar 25, 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.

Affiliated clinicians 2

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

• Ashish Ashok Bhavsar, M.D.

  • Hospitalist Physician
  • Orange, CA
  • NPI 1881871754

  Hospice

  Care Compare affiliation
• Bassam R Bilal, M.D.

  • Internal Medicine Physician
  • Laguna Niguel, CA
  • NPI 1306890827

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1518588227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1442 IRVINE BLVD STE 119",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803845",
            "telephone_number": "714-858-2742",
            "fax_number": "714-908-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1442 IRVINE BLVD STE 119",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803845",
            "telephone_number": "714-858-2742",
            "fax_number": "714-908-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN STAR HOSPICE AND PALLIATIVE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-04",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED",
        "authorized_official_first_name": "AZAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-858-2742"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• GM Homecare LLC (Visiting Angels)
• Daniel Gnandt
• Irene Jannette Godinez
• Mariely Godoy
• Golden Coast Hospice and Palliative Care, Inc.
• Golden State Marrriage and Family Therapy a Professional Corporation (Golden State Therapy)
• Sula Goldenberg, LMFT
• Eileen Martha Gomez, NP
• Karina Gomez
• Oralina Andrea Gomez

• Community Based Hospice Care Agency in Tustin, CA
• Providers in Tustin, 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 27, 2024; 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.