Organization Active NPI

Envisage Palliative Care

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Rancho Cucamonga, CA
National Provider Identifier
1700404852
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
Legal business name
ENVISAGE PALLIATIVE CARE
Practice address
7369 Solstice PL
Rancho Cucamonga, CA 91739-8769
Phone
(818) 699-4388
NPI assigned
Jul 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Authorized official

Name
Don Arthur Estuita
Title
Ceo
Phone
(818) 699-4388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0002X Primary

Addresses

Primary practice location

7369 Solstice PL
Rancho Cucamonga, CA 91739-8769

Mailing address

11428 Artesia Blvd Ste 5a
Artesia, CA 90701-3800
Phone (562) 330-1241

National Provider Directory

National Provider Directory

Locations

11428 Artesia Blvd
Ste 5A
Artesia, CA 90701

NPI Registry JSON

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1700404852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11428 ARTESIA BLVD STE 5A",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907013800",
            "telephone_number": "562-330-1241",
            "fax_number": "562-800-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7369 SOLSTICE PL",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917398769",
            "telephone_number": "818-699-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISAGE PALLIATIVE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-06",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "ESTUITA",
        "authorized_official_first_name": "DON ARTHUR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-699-4388"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.