NPIMap

Organization Active NPI

Vitas Health Services of California Inc

Doing business as Palliative Medical Associates of California

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Covina, CA
National Provider Identifier
1780973024
Registry record updated Oct 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
Legal business name
VITAS HEALTH SERVICES OF CALIFORNIA INC
Doing business as
Palliative Medical Associates of California
Practice address
1343 N Grand Ave
Suite 100
Covina, CA 91724-4020
Phone
(877) 868-4827
Fax
(877) 283-0663
NPI assigned
Apr 6, 2011
Last updated
Oct 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2026

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

Authorized official

Name
Joel Wherley
Title
Ceo
Phone
(513) 618-2246

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QH0002X
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RH0002X Primary
Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

1343 N Grand Ave
Suite 100
Covina, CA 91724-4020

Mailing address

1343 N Grand Ave Ste 100a
Covina, CA 91724-4043
Phone (877) 868-4827

Other names 1

  • Palliative Medical Associates of California Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111213000217 CA Part B Supplier - Clinic/Group Practice 4385819812 Receives reassigned benefits from 15 practitioners
Practice locations: Arcadia, CA; West Covina, CA; Upland, CA; Thousand Oaks, CA; San Jose, CA; San Dimas, CA; Pomona, CA; Pasadena, CA…

National Provider Directory

National Provider Directory

Locations

1343 N Grand Ave
Ste 206
Covina, CA 91724

16830 Ventura Blvd
Encino, CA 91436
Phone (818) 385-0273

670 N McCarthy Blvd
Ste 200
Milpitas, CA 95035

990 W 190th St
Ste 120
Torrance, CA 90502
Phone (305) 350-6044

1115 S Sunset Ave
West Covina, CA 91790
Phone (626) 814-2434

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793145600000",
    "number": "1780973024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1343 N GRAND AVE STE 100A",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917244043",
            "telephone_number": "877-868-4827",
            "fax_number": "877-283-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 N GRAND AVE",
            "address_2": "SUITE 100",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917244020",
            "telephone_number": "877-868-4827",
            "fax_number": "877-283-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAS HEALTH SERVICES OF CALIFORNIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2026-10-28",
        "certification_date": "2026-10-28",
        "status": "A",
        "authorized_official_last_name": "WHERLEY",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-618-2246"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palliative Medical Associates of California",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.