Nexus Legacy, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

NEXUS LEGACY, INC.

Practice address

640 S Sunset Ave Ste 202
West Covina, CA 91790-2808

Phone

(626) 480-8000

NPI assigned

Mar 13, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Jared Evangelista

Title

Office Manager

Phone

(626) 429-9220

Specialties & licenses 1

Addresses

Other names 1

• Lighthouse Hospice & Palliative Care Services Doing business as

Listed as

Lighthouse Hospice & Palliative Care ServicesCCN A01698

Ownership

For-Profit

Certified

Oct 29, 2019

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Enrique Vitug, NP

  • Family Nurse Practitioner
  • West Covina, CA
  • NPI 1639902414
  NPD
• Peter Panes Balingit, MD

  • Internal Medicine Physician
  • Sylmar, CA
  • NPI 1114952264
  NPD (past)

Affiliated clinicians 1

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

• Sameh Mikhail, M.D.

  • Hospitalist Physician
  • Redlands, CA
  • NPI 1265849723

  Hospice

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1578066890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 MEADOW LN",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910102600",
            "telephone_number": "626-679-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S SUNSET AVE STE 202",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902808",
            "telephone_number": "626-480-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXUS LEGACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-13",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "EVANGELISTA",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "626-429-9220",
        "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": [
        {
            "organization_name": "Lighthouse Hospice & Palliative Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Martha Nevens
• Never 2 Late Behavioral Health
• New 1 Pharmacy Inc
• New Generation Healthcare, Inc.
• New Hope Center Inc
• Sylvia Szewan NG, NP
• Philip Ngai, M.D.
• Nathan Alexander Ngo, DPT
• Nguyen and Ta Professional Dental Corp.
• Nguyen and Ta Professional Dental Corp.

• Community Based Hospice Care Agency in West Covina, CA
• Providers in West Covina, 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 Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.