Active NPI
Envisage Palliative Care
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Rancho Cucamonga, CA
National Provider Identifier
1700404852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Internal Medicine) Physician | 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 DirectoryLocations
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.