Organization Active NPI

St. Martin Hospice Inc

  • Community Based Hospice Care Agency
  • Los Angeles, CA
National Provider Identifier
1578540233
Registry record updated Jun 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ST. MARTIN HOSPICE INC
Practice address
1925 W Temple St
Suite 210
Los Angeles, CA 90026-4972
Phone
(213) 413-4629
Fax
(213) 413-7971
NPI assigned
Dec 23, 2005
Last updated
Jun 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2011

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

Authorized official

Name
Ms. Shirley Baldovino Soriano
Title
Chief Executive Officer
Phone
(213) 413-4629

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

1925 W Temple St
Suite 210
Los Angeles, CA 90026-4972

Mailing address

1925 W Temple St
Suite 210
Los Angeles, CA 90026-4972
Phone (213) 413-4629

Other identifiers 1

IdentifierTypeStateIssuer
HCP01754FMedicaidCA

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1925 W Temple St
Ste 210
Los Angeles, CA 90026
Phone (213) 413-4629

NPI Registry JSON

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309392000000",
    "number": "1578540233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 W TEMPLE ST",
            "address_2": "SUITE 210",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900264972",
            "telephone_number": "213-413-4629",
            "fax_number": "213-413-7971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 W TEMPLE ST",
            "address_2": "SUITE 210",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900264972",
            "telephone_number": "213-413-4629",
            "fax_number": "213-413-7971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARTIN HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-23",
        "last_updated": "2011-06-30",
        "status": "A",
        "authorized_official_last_name": "SORIANO",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "BALDOVINO",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "213-413-4629",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HCP01754F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.