Organization Active NPI

Serenity Hospice Care of California Inc

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • El Centro, CA
National Provider Identifier
1730844580
Registry record updated Nov 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
Legal business name
SERENITY HOSPICE CARE OF CALIFORNIA INC
Practice address
1671 W Main St Ste B
El Centro, CA 92243-5420
Phone
(619) 883-6476
NPI assigned
Nov 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2021

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

Authorized official

Name
Mr. Paul Clemente Tatoy
Title
President
Phone
(619) 883-6476

Specialties & licenses 1

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

Addresses

Primary practice location

1671 W Main St Ste B
El Centro, CA 92243-5420

Mailing address

1671 W Main St Ste B
El Centro, CA 92243-5420
Phone (619) 883-6476

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1636156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636156800000",
    "number": "1730844580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1671 W MAIN ST STE B",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922435420",
            "telephone_number": "619-883-6476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1671 W MAIN ST STE B",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922435420",
            "telephone_number": "619-883-6476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOSPICE CARE OF CALIFORNIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-06",
        "last_updated": "2021-11-06",
        "certification_date": "2021-11-06",
        "status": "A",
        "authorized_official_last_name": "TATOY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "CLEMENTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-883-6476",
        "authorized_official_name_prefix": "Mr."
    },
    "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 El Centro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.