Active NPI
Encinitas Hospice Care Inc
- Community Based Hospice Care Agency
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- ENCINITAS HOSPICE CARE INC
- Practice address
- 4849 Ronson CT Ste 204
San Diego, CA 92111-1805 - Phone
- (866) 568-6462
- Fax
- (858) 289-4840
- NPI assigned
- Jun 30, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Deville II
- Title
- President
- Phone
- (760) 643-6250
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
4849 Ronson CT Ste 204
San Diego, CA 92111-1805
Mailing address
4849 Ronson CT Ste 204
San Diego, CA 92111-1805
Phone (866) 568-6462
Other names 1
- Calstro Hospice San Diego
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190320002566 | CA | Part A Provider - Hospice | 0749520286 | Practice locations: San Diego, CA |
Hospice certification: CCN A01630
- Legal name
- ENCINITAS HOSPICE CARE INC
- Doing business as
- CALSTRO HOSPICE SAN DIEGO
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Aug 19, 2019
- Last certification
- Aug 19, 2019
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Enrollment address
- 4849 Ronson CT
Ste 204
San Diego, CA 92111-1805
Care Compare: Hospice
Medicare Care Compare- Listed as
- Calstro Hospice San Diego
- Ownership
- For-Profit
- Certified
- Aug 19, 2019
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2196686 | Encinitas Hospice Care Inc | Certificate of waiver | Oct 18, 2026 |
National Provider Directory
National Provider DirectoryLocations
336 Encinitas Blvd
Ste 120
Encinitas, CA 92024
4849 Ronson Ct
Ste 204
San Diego, CA 92111
Phone (866) 568-6462
Ownership & related parties
All disclosed owners & managing parties 8
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Tanya Ramos | W-2 Managing Employee | Jun 1, 2025 | 5% |
| Antoinette Biggs | W-2 Managing Employee | Sep 1, 2025 | 20% |
| Amarish Pradhan | Contracted Managing Employee | Aug 1, 2025 | 5% |
| Osagie Bello | Contracted Managing Employee | Jun 1, 2025 | 20% |
| Robert a. Deville | W-2 Managing Employee | Jul 20, 2020 | 15% |
| Oscar Ivan Caldera | 5% Or Greater Direct Ownership Interest | Jul 17, 2020 | 50% |
| Alex Castro | 5% Or Greater Direct Ownership Interest | Jul 17, 2020 | 50% |
| Operational/Managerial Control | Jun 1, 2025 | 5% | |
| Juan Ramon Avena | W-2 Managing Employee | Jun 1, 2025 | 60% |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Medical Oncology Physician
- Brawley, CA
- NPI 1164726378
Contracted Managing Employee
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1427180496
Contracted Managing Employee
Practitioners & affiliated clinicians
Affiliated clinicians 5
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Chula Vista, CA
- NPI 1386654010
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435622400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758499200000",
"number": "1568845261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4849 RONSON CT STE 204",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921111805",
"telephone_number": "866-568-6462",
"fax_number": "858-289-4840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4849 RONSON CT STE 204",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921111805",
"telephone_number": "866-568-6462",
"fax_number": "858-289-4840"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENCINITAS HOSPICE CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-30",
"last_updated": "2025-09-22",
"certification_date": "2025-09-22",
"status": "A",
"authorized_official_last_name": "DEVILLE",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "760-643-6250",
"authorized_official_name_suffix": "II"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Calstro Hospice San Diego",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Sep 22, 2025; 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.