Organization Active NPI

Extra Mile Hospice Care

  • Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
  • Anaheim, CA
National Provider Identifier
1699648147
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081H0002X
Legal business name
EXTRA MILE HOSPICE CARE
Practice address
1661 N Raymond Ave Ste 260
Anaheim, CA 92801-1158
Phone
(714) 932-8931
Fax
(714) 670-7301
NPI assigned
Sep 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Authorized official

Name
Maria Teresa Misa
Title
Authorized Official
Phone
(714) 515-0459

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081H0002X Primary

Addresses

Primary practice location

1661 N Raymond Ave Ste 260
Anaheim, CA 92801-1158

Mailing address

1661 N Raymond Ave Ste 260
Anaheim, CA 92801-1158
Phone (714) 932-8931

National Provider Directory

National Provider Directory

Locations

1661 N Raymond Ave
Ste 260
Anaheim, CA 92801
Phone (714) 670-7334

NPI Registry JSON

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

{
    "created_epoch": "1759104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1699648147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 N RAYMOND AVE STE 260",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011158",
            "telephone_number": "714-932-8931",
            "fax_number": "714-670-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 N RAYMOND AVE STE 260",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011158",
            "telephone_number": "714-932-8931",
            "fax_number": "714-670-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTRA MILE HOSPICE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-29",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "MISA",
        "authorized_official_first_name": "MARIA TERESA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "714-515-0459"
    },
    "taxonomies": [
        {
            "code": "2081H0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.