Golden Gate Hospice Care

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

GOLDEN GATE HOSPICE CARE

Practice address

6420 Van Nuys Blvd Ste 201
Van Nuys, CA 91401-1436

Phone

(747) 282-1515

Fax

(747) 282-1516

NPI assigned

Dec 19, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Arash Shamsian, MD,MHANPI 1033614078

Title

Ceo

Phone

(747) 282-1515

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN A11621

Legal name

GOLDEN GATE HOSPICE CARE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 13, 2020

Last certification

Aug 13, 2020

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Nov 12, 2019 in CA

Enrollment address

6420 Van Nuys Blvd
Ste 201
Van Nuys, CA 91401-1436

Listed as

Healthy Lifestyle Hospice Care, IncCCN B21584

Ownership

For-Profit

Certified

May 26, 2021

Listed as

Golden Gate Hospice CareCCN A11621

Ownership

For-Profit

Certified

Aug 13, 2020

Medicare certification status

ActiveFrom 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

All disclosed owners & managing parties 1

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

Practitioners 1

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

• Arash Shamsian, MD, MHA

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Van Nuys, CA
  • NPI 1033614078
  NPD Authorized official

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681862400000",
    "number": "1659919603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 VAN NUYS BLVD STE 201",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011436",
            "telephone_number": "747-282-1515",
            "fax_number": "747-282-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 VAN NUYS BLVD STE 201",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011436",
            "telephone_number": "747-282-1515",
            "fax_number": "747-282-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN GATE HOSPICE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A",
        "authorized_official_last_name": "SHAMSIAN",
        "authorized_official_first_name": "ARASH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-282-1515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD,MHA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Goldberg
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• Golden Health Hospice Inc
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• Golden Hospice, Inc.
• Golden Soul Home Health Inc
• Golden Soul Hospice Inc

• Community Based Hospice Care Agency in Van Nuys, CA
• Providers in Van Nuys, 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 19, 2023; 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.