Diamond Hospice Services Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

DIAMOND HOSPICE SERVICES INC.

Practice address

21221 S Western Ave Ste 140
Torrance, CA 90501-2972

Phone

(310) 817-5665

Fax

(310) 817-5539

NPI assigned

Nov 2, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Erickson Cruz BautistaNPI 1285024083

Title

Authorized Official

Phone

(310) 817-5665

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN A11654

Legal name

DIAMOND HOSPICE SERVICES INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Oct 24, 2020

Last certification

Oct 24, 2020

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Enrollment address

21221 S Western Ave
Ste 140 RM 1601
Torrance, CA 90501-2972

Listed as

Diamond Hospice Services IncCCN A11654 · All quality measures

Ownership

For-Profit

Certified

Oct 24, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Anousheh Ashouri, M.D.

  • Hospitalist Physician
  • Riverside, CA
  • NPI 1336305036

  W-2 Managing Employee

  CMS ownership
• Erickson Cruz Bautista, D.N.P

  • Adult Health Nurse Practitioner
  • Riverside, CA
  • NPI 1285024083

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership

Practitioners 1

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

• Erickson Cruz Bautista, D.N.P

  • Adult Health Nurse Practitioner
  • Riverside, CA
  • NPI 1285024083
  NPD Authorized official

Affiliated clinicians 1

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

• Anousheh Ashouri, M.D.

  • Hospitalist Physician
  • Riverside, CA
  • NPI 1336305036

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1609249523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21221 S WESTERN AVE STE 140",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905012972",
            "telephone_number": "310-817-5665",
            "fax_number": "310-816-5539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21221 S WESTERN AVE STE 140",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905012972",
            "telephone_number": "310-817-5665",
            "fax_number": "310-817-5539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND HOSPICE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-02",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "ERICKSON",
        "authorized_official_middle_name": "CRUZ",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "310-817-5665",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Torrance, CA
• Providers in Torrance, 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 Dec 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.