Orangecoast Partners

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ORANGECOAST PARTNERS

Doing business as

St. Jude Hospice & Palliative Care

Practice address

121 N State College Blvd Ste 1a
Anaheim, CA 92806-2926

Phone

(714) 603-7314

Fax

(714) 603-7029

NPI assigned

Oct 1, 2014

Last updated

Jul 1, 2024By 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

Paul Adriano

Title

President

Phone

(714) 603-7314

Specialties & licenses 1

Addresses

Other names 1

• St. Jude Hospice & Palliative Care Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1770986994. Details of each certification follow.

• CCN 921765 Hospice · Active · Details

Hospice certification: CCN 921765

Legal name

ORANGECOAST PARTNERS

Doing business as

ST. JUDE HOSPICE & PALLIATIVE CARE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Feb 5, 2018

Last certification

Feb 5, 2018

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Aug 13, 2014 in CA

Enrollment address

121 N State College Blvd
# 1A
Anaheim, CA 92806-2926

Listed as

St. Jude Hospice & Palliative CareCCN 921765 · All quality measures

Ownership

For-Profit

Certified

Feb 5, 2018

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.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Hani Adiep Benyamin-Ajaipi

  • Internal Medicine Physician
  • Los Alamitos, CA
  • NPI 1770783896

  Contracted Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hani Adiep Benyamin-Ajaipi

  • Internal Medicine Physician
  • Los Alamitos, CA
  • NPI 1770783896
  NPD

Affiliated clinicians 3

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

• Hani Adiep Benyamin-Ajaipi

  • Internal Medicine Physician
  • Los Alamitos, CA
  • NPI 1770783896

  Hospice

  Care Compare affiliation
• Jigar Kadakia, M.D.

  • Hospitalist Physician
  • Sherman Oaks, CA
  • NPI 1144502618

  Hospice

  Care Compare affiliation
• Nilesh Lalit Vora, M.D.

  • Hematology & Oncology Physician
  • Long Beach, CA
  • NPI 1790976363

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1770986994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 N STATE COLLEGE BLVD STE 1A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928062926",
            "telephone_number": "714-603-7314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N STATE COLLEGE BLVD STE 1A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928062926",
            "telephone_number": "714-603-7314",
            "fax_number": "714-603-7029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGECOAST PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "ADRIANO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-603-7314"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Jude Hospice & Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Based Hospice Care Agency in Anaheim, CA
• Providers in Anaheim, 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 Jul 1, 2024; 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.