Pacific Coast Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PACIFIC COAST HOSPICE INC

Practice address

20953 Devonshire St Ste 8B
Chatsworth, CA 91311-2371

Phone

(747) 463-9900

NPI assigned

Jan 27, 2020

Last updated

May 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hollis Frederick

Title

Ceo/Administrator

Phone

(310) 877-8067

Specialties & licenses 1

Addresses

Electronic endpoints 3

Listed as

Pacific Coast Hospice IncCCN B31732

Certified

Dec 17, 2021

Medicare certification status

Terminated Voluntary: merger or closure, Feb 1, 2026From the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Affiliated clinicians 1

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

• Stephen Pine, M.D.

  • Obstetrics & Gynecology Physician
  • Los Angeles, CA
  • NPI 1356352108

  Hospice

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1659902922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20953 DEVONSHIRE ST STE 8B",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112371",
            "telephone_number": "747-463-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20953 DEVONSHIRE ST STE 8B",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112371",
            "telephone_number": "747-463-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC COAST HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-27",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "HOLLIS",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "310-877-8067"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "hollis.pacificcoasthospice@gmail.com",
            "affiliation": "N",
            "address_1": "20953 Devonshire St Ste 8B",
            "city": "Chatsworth",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913112371",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "hollis.pacificcoasthospice@gmail.com",
            "affiliation": "N",
            "address_1": "20953 Devonshire St Ste 8B",
            "city": "Chatsworth",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913112371",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "pacificcoasthsi@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "pacificcoasthsi@gmail.com",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "20953 Devonshire St Ste 8B",
            "city": "Chatsworth",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913112371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Optuma Care Services, Inc (Specialty Hospice Care)
• Julio Cesar Ortega
• Our Community School
• Eleeza Owens, DC
• Pablo Luis Gonzalez Dental Corp
• Pacific Toxicology Laboratories
• Lauren Michelle Padilla, LVN
• Allison Padula
• Barbara R Pampalone, D.D.S., M.A.G.D.
• Carolyn Pampalone, MSN, FNP-BC

• Community Based Hospice Care Agency in Chatsworth, CA
• Providers in Chatsworth, 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 May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.