Organization Active NPI

Bayside Hospice Inc

  • Community Based Hospice Care Agency
  • Lomita, CA
National Provider Identifier
1669697942
Registry record updated Aug 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
BAYSIDE HOSPICE INC
Practice address
25636 Narbonne Ave
Suite C
Lomita, CA 90717-2512
Phone
(310) 891-3500
Fax
(310) 891-1333
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2010

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

Authorized official

Name
Mr. Erwin D Reyes
Title
President
Phone
(310) 891-3500

Specialties & licenses 1

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

Addresses

Primary practice location

25636 Narbonne Ave
Suite C
Lomita, CA 90717-2512

Mailing address

25636 Narbonne Ave
Suite C
Lomita, CA 90717-2512
Phone (310) 891-3500

National Provider Directory

National Provider Directory

Locations

25636 Narbonne Ave
Ste C
Lomita, CA 90717
Phone (310) 891-3500

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283126400000",
    "number": "1669697942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25636 NARBONNE AVE",
            "address_2": "SUITE C",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907172512",
            "telephone_number": "310-891-3500",
            "fax_number": "310-891-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25636 NARBONNE AVE",
            "address_2": "SUITE C",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907172512",
            "telephone_number": "310-891-3500",
            "fax_number": "310-891-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2010-08-30",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "ERWIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-891-3500",
        "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": []
}

Other providers in Lomita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; 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.