New Era Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

NEW ERA HOSPICE LLC

Doing business as

NEW ERA HOSPICE LLC

Practice address

730 Arizona Ave
Santa Monica, CA 90401-1702

Phone

(702) 224-2053

Fax

(702) 218-1944

NPI assigned

Jan 22, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Marianne Bundalian Tejada, DNP, RN

Title

Administrator/DPCS

Phone

(702) 224-2053

Specialties & licenses 1

Addresses

Other names 1

• NEW ERA HOSPICE LLC Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611273600000",
    "number": "1629668629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3733 VIA CORSO AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890520512",
            "telephone_number": "702-224-2053",
            "fax_number": "702-218-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 ARIZONA AVE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011702",
            "telephone_number": "702-224-2053",
            "fax_number": "702-218-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ERA HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A",
        "authorized_official_last_name": "TEJADA",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_middle_name": "BUNDALIAN",
        "authorized_official_title_or_position": "ADMINISTRATOR/DPCS",
        "authorized_official_telephone_number": "702-224-2053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Desktop",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "730 Arizona Ave",
            "city": "Santa Monica",
            "state": "CA",
            "country_code": "US",
            "postal_code": "904011702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "NEW ERA HOSPICE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jason Ngo, M.D.

• Community Based Hospice Care Agency in Santa Monica, CA
• Providers in Santa Monica, 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 Jan 22, 2021; 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.