Oakwood Healthcare Services Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

OAKWOOD HEALTHCARE SERVICES INC.

Practice address

17220 Newhope St Ste 204
Fountain Valley, CA 92708-4261

Phone

(818) 839-8879

Fax

(747) 279-4222

NPI assigned

Jul 20, 2020

Organization subpart

No

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

Authorized official

Name

Jaqline Nazari

Title

Ceo

Phone

(818) 839-8879

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B31748

Legal name

OAKWOOD HEALTHCARE SERVICES INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Feb 16, 2022

Last certification

Feb 16, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jun 26, 2020 in CA

Enrollment address

17220 Newhope St
Ste 204
Fountain Valley, CA 92708-4261

Listed as

Oakwood Healthcare Services IncCCN B31748

Certified

Feb 16, 2022

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 5

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 2

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

• Philip H Lee, D.O.

  • General Practice Physician
  • Burbank, CA
  • NPI 1992981161

  Contracted Managing Employee, Operational/Managerial Control

  CMS ownership
• Prode P Pascual, M.D

  • Geriatric Medicine (Internal Medicine) Physician
  • Norwalk, CA
  • NPI 1558454595

  Contracted Managing Employee, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 2

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

• Rishi Gupta, MD

  • Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
  • West Hollywood, CA
  • NPI 1922208982
  Care Compare affiliation
• Prode P Pascual, M.D

  • Geriatric Medicine (Internal Medicine) Physician
  • Norwalk, CA
  • NPI 1558454595

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685404800000",
    "number": "1659989283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17220 NEWHOPE ST STE 204",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084261",
            "telephone_number": "818-839-8879",
            "fax_number": "747-279-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17220 NEWHOPE ST STE 204",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084261",
            "telephone_number": "818-839-8879",
            "fax_number": "747-279-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKWOOD HEALTHCARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A",
        "authorized_official_last_name": "NAZARI",
        "authorized_official_first_name": "JAQLINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-839-8879"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvonne Nyquist, RNP
• Timothy J O'Brien, PH.D.
• Alyson O'Connor, DPT
• Claudia O'Connor, DDS
• Joseph Lawrence O'Connor, DDS
• Deborah Jean Oates, N.P.
• OB/GYN University Associates- Fountain Valley
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• Oc Cardiovascular Care, Inc.
• Oc Hospitalist Associates Inc

• Community Based Hospice Care Agency in Fountain Valley, CA
• Providers in Fountain Valley, 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 30, 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.