Organization Active NPI

Hospice Spectrum Inland Empire

  • Community Based Hospice Care Agency
  • Rancho Cucamonga, CA
National Provider Identifier
1659620987
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
550002207 Issued in CA
Legal business name
HOSPICE SPECTRUM INLAND EMPIRE
Practice address
7365 Carnelian Street
Suite 220
Rancho Cucamonga, CA 91730-1129
Phone
(909) 256-4050
Fax
(909) 440-8100
NPI assigned
Aug 31, 2012
Last updated
Jul 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2014

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

Authorized official

Name
Mr. Joel G Ombao, NURSE PRACTITIONER
Title
President
Phone
(909) 800-0883

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X
Community Based Hospice Care Agency 251G00000X 550002207 CA Primary

Addresses

Primary practice location

7365 Carnelian Street
Suite 220
Rancho Cucamonga, CA 91730-1129

Mailing address

7365 Carnelian Street
Suite 220
Rancho Cucamonga, CA 91730-1129
Phone (909) 256-4050

Other names 1

  • Assurance Hospice Inland Empire Inc Former legal business name

National Provider Directory

National Provider Directory

Member of 1

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

Locations

7365 Carnelian St
Ste 220
Rancho Cucamonga, CA 91730
Phone (909) 256-4050

NPI Registry JSON

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1659620987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7365 CARNELIAN STREET",
            "address_2": "SUITE 220",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301129",
            "telephone_number": "909-256-4050",
            "fax_number": "909-440-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7365 CARNELIAN STREET",
            "address_2": "SUITE 220",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301129",
            "telephone_number": "909-256-4050",
            "fax_number": "909-440-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE SPECTRUM INLAND EMPIRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-31",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "OMBAO",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-800-0883",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "550002207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assurance Hospice Inland Empire Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; 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.