Active NPI
First Choice Palliative and Hospice Care Corporation
- Community Based Hospice Care Agency
- Corona, CA
National Provider Identifier
1750953568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- FIRST CHOICE PALLIATIVE AND HOSPICE CARE CORPORATION
- Practice address
- 1307 W 6TH St Ste 209
Corona, CA 92882-1642 - Phone
- (909) 835-0079
- NPI assigned
- Jul 12, 2021
- 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
- Marck Anton Tamayo
- Title
- Compliance Officer
- Phone
- (714) 770-0152
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
1307 W 6TH St Ste 209
Corona, CA 92882-1642
Mailing address
1307 W 6TH St Ste 209
Corona, CA 92882-1642
Phone (909) 835-0079
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626048000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626048000000",
"number": "1750953568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1307 W 6TH ST STE 209",
"city": "CORONA",
"state": "CA",
"postal_code": "928821642",
"telephone_number": "909-835-0079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1307 W 6TH ST STE 209",
"city": "CORONA",
"state": "CA",
"postal_code": "928821642",
"telephone_number": "909-835-0079"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRST CHOICE PALLIATIVE AND HOSPICE CARE CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-12",
"last_updated": "2021-07-12",
"certification_date": "2021-07-12",
"status": "A",
"authorized_official_last_name": "TAMAYO",
"authorized_official_first_name": "MARCK ANTON",
"authorized_official_title_or_position": "COMPLIANCE OFFICER",
"authorized_official_telephone_number": "714-770-0152"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.