Organization Active NPI

Hospice de la Frontera

  • Nursing Care Agency
  • San Diego, CA
National Provider Identifier
1720611502
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
HOSPICE DE LA FRONTERA
Practice address
2626 Coronado Ave SPC 66
San Diego, CA 92154-2126
Phone
(619) 719-3488
NPI assigned
Feb 19, 2020
Last updated
Feb 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Authorized official

Name
Sergio Conti
Title
Ceo
Phone
(619) 719-3488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

2626 Coronado Ave SPC 66
San Diego, CA 92154-2126

Mailing address

2626 Coronado Ave SPC 66
San Diego, CA 92154-2126
Phone (619) 719-3488

Other identifiers 1

IdentifierTypeStateIssuer
F3023165OtherCADRIVER LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582070400000",
    "number": "1720611502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 CORONADO AVE SPC 66",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921542126",
            "telephone_number": "619-719-3488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 CORONADO AVE SPC 66",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921542126",
            "telephone_number": "619-719-3488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE DE LA FRONTERA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-19",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A",
        "authorized_official_last_name": "CONTI",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-719-3488"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "F3023165",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.