Organization Active NPI

Encinitas Hospice Care Inc

  • Community Based Hospice Care Agency
  • San Diego, CA
National Provider Identifier
1568845261
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Sep 22, 2025

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
Enrollment address
4849 Ronson CT
Ste 204
San Diego, CA 92111-1805

Care Compare: Hospice

Medicare Care Compare
Listed as
Calstro Hospice San DiegoCCN A01630
Ownership
For-Profit
Certified
Aug 19, 2019
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2196686Encinitas Hospice Care Inc4849 Ronson CT, #204, San Diego, CA 92111Certificate of waiverOct 18, 2026

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Tanya Ramos Individual W-2 Managing EmployeeOffice Manager Jun 1, 2025 5%
Antoinette Biggs Individual W-2 Managing EmployeeDirector of Patient Care Services Sep 1, 2025 20%
Amarish Pradhan Individual Contracted Managing EmployeeMedical Director Designee/Alternte Aug 1, 2025 5%
Osagie Bello Individual Contracted Managing EmployeeMD; Jun 1, 2025 20%
Robert a. Deville Individual W-2 Managing EmployeeAdministrator Designee/Alternate Jul 20, 2020 15%
Oscar Ivan Caldera Individual 5% Or Greater Direct Ownership InterestCeo Jul 17, 2020 50%
Alex Castro Individual 5% Or Greater Direct Ownership InterestCfo Jul 17, 2020 50%
Operational/Managerial ControlDPCS Designee/Alternate Jun 1, 2025 5%
Juan Ramon Avena Individual W-2 Managing EmployeeAd; 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.

Practitioners & affiliated clinicians

Affiliated clinicians 5

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

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

Verify at the official NPI Registry.