Daian Corporation

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

550001495 Issued in CA

Legal business name

DAIAN CORPORATION

Practice address

10507 Garden Grove Blvd # F
Garden Grove, CA 92843-1128

Phone

(714) 689-2300

Fax

(714) 689-2301

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Rosalie Lu Weber

Title

Ceo/President

Phone

(714) 590-3620

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PEC HOSPICE Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN 051611

Legal name

DAIAN CORPORATION

Doing business as

PEC HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 10, 1993

Last certification

May 9, 2018

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Mar 29, 2002 in CA

Enrollment address

10507 Garden Grove Blvd F
Garden Grove, CA 92843-1128

Listed as

Pec HospiceCCN 051611

Ownership

For-Profit

Certified

Aug 10, 1993

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 5

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

Affiliated clinicians 1

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

• Mark Noel Samonte, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Carson, CA
  • NPI 1114140233

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1609960897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10507 GARDEN GROVE BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431128",
            "telephone_number": "714-689-2300",
            "fax_number": "714-689-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10507 GARDEN GROVE BLVD # F",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431128",
            "telephone_number": "714-689-2300",
            "fax_number": "714-689-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAIAN CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "ROSALIE",
        "authorized_official_middle_name": "LU",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "714-590-3620"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "550001495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HPC01611G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEC HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leanna D'Angelis
• Michelle Ridgle Dabbs
• Farahna Dahaj
• Dai Pham MD Inc
• Daian Corporation
• Nancy Lynn Dalebout
• Dalton Residential Care LLC
• Esther Dalugdugan, MD
• Odalis L Damaso Sanchez
• Dan B Acupuncture Inc

• Community Based Hospice Care Agency in Garden Grove, CA
• Providers in Garden Grove, 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 Mar 23, 2017; 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.