Haga Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

HAGA HOSPICE, INC.

Practice address

1403 Lomita Blvd Ste 303a
Harbor City, CA 90710-2085

Phone

(818) 691-1300

Fax

(818) 988-0869

NPI assigned

Nov 22, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Dennis Ponce

Title

Ceo

Phone

(818) 691-1300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN 551671

Legal name

HAGA HOSPICE, INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 30, 2012

Last certification

Mar 18, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Nov 3, 2010 in CA

Enrollment address

1403 Lomita Blvd
Ste 303a
Harbor City, CA 90710-2085

Listed as

Haga Hospice, IncCCN 551671 · All quality measures

Ownership

For-Profit

Certified

Jun 30, 2012

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 2

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 1

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

• Babak Roozrokh, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Los Angeles, CA
  • NPI 1326078361

  Corporate Director

  CMS ownership

Practitioners 1

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

• Linda Chu, PHARM.D.

  • Pharmacist
  • Redlands, CA
  • NPI 1326396672
  NPD

Affiliated clinicians 3

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

• Daniel Nader Niknam, DO

  • Internal Medicine Physician
  • Inglewood, CA
  • NPI 1598262073

  Hospice

  Care Compare affiliation
• Aruna S Ramayya, M.D.

  • Internal Medicine Physician
  • Torrance, CA
  • NPI 1578545406

  Hospice

  Care Compare affiliation
• Babak Roozrokh, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Los Angeles, CA
  • NPI 1326078361
  Care Compare affiliation

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1659673788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 LOMITA BLVD STE 303A",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907102085",
            "telephone_number": "818-691-1300",
            "fax_number": "818-988-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 LOMITA BLVD STE 303A",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907102085",
            "telephone_number": "818-691-1300",
            "fax_number": "818-988-0869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAGA HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-22",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "PONCE",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-691-1300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Verna Chenwa Guo, MD
• Mandhir Gupta, MD
• Katy Gutierrez
• Myra Alejandra Gutierrez, DO
• Grace Yonghea Hacegaba, MD
• Rushton E Halbert III, PA
• Michael Philip Hall, M.D.
• Jeffery E Haller, PHARM.D.
• Sung Wan Ham, M.D.
• Ricardo Hamilton, M.D

• Community Based Hospice Care Agency in Harbor City, CA
• Providers in Harbor City, 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 Apr 8, 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.