Physician's Choice Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PHYSICIAN'S CHOICE HOSPICE LLC

Practice address

1535 W Merced Ave Ste 200
West Covina, CA 91790-3404

Phone

(626) 986-4247

Fax

(626) 986-4190

NPI assigned

Jan 30, 2015

Last updated

May 9, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ivan Tanchoco

Title

Administrator

Phone

(626) 325-4410

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1750771523. Details of each certification follow.

• CCN 921514 Hospice · Active · Details

Hospice certification: CCN 921514

Legal name

PHYSICIAN'S CHOICE HOSPICE, LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

May 23, 2016

Last certification

Apr 25, 2019

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Oct 30, 2013 in CA

Enrollment address

1535 W Merced Ave
Ste 200
West Covina, CA 91790-3404

Listed as

Physician's Choice Hospice LLCCCN 921514 · All quality measures

Ownership

Other

Certified

May 23, 2016

Medicare certification status

ActiveFrom the Provider of Services file

Listed as

D' Alexandria Hospice IncCCN A01784

Ownership

For-Profit

Certified

Aug 30, 2020

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• John Daliva, DO

  • Addiction Medicine (Internal Medicine) Physician
  • Pomona, CA
  • NPI 1760836662

  Hospice

  Care Compare affiliation
• James H Song, M.D.

  • Specialist
  • City of Industry, CA
  • NPI 1679662217

  Hospice

  Care Compare affiliation
• Yi Wang, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • City of Industry, CA
  • NPI 1427248319

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652054400000",
    "number": "1750771523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 W MERCED AVE STE 200",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903404",
            "telephone_number": "626-986-4247",
            "fax_number": "626-986-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 W MERCED AVE STE 200",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903404",
            "telephone_number": "626-986-4247",
            "fax_number": "626-986-4190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22156 Sherman Way",
            "address_2": "F1",
            "address_purpose": "LOCATION",
            "city": "Canoga Park",
            "state": "CA",
            "postal_code": "913031100",
            "country_code": "US",
            "telephone_number": "888-406-5645",
            "fax_number": "877-897-9791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHYSICIAN'S CHOICE HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-30",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A",
        "authorized_official_last_name": "TANCHOCO",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "626-325-4410"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luong Van Phan, DDS
• Pharmedquest Pharmacy Services (Avita Pharmacy 1012)
• Jeffrey P Phelan, M.D.
• Trisha Phermsangngam
• Philip Ngai MD, Incorporated (San Gabriel Valley Eye Group)
• Joseph Michael Picerno
• Stephanie Pickford, BCBA
• Sangeetha Pillai
• Jose R. Pilpa, MD
• Araceli Pineda

• Community Based Hospice Care Agency in West Covina, CA
• Providers in West Covina, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.