Mary, Queen of Angels Hospice

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MARY, QUEEN OF ANGELS HOSPICE

Practice address

10990 Warner Ave
Unit E
Fountain Valley, CA 92708-3849

Phone

(855) 226-9603

NPI assigned

Oct 4, 2013

Last updated

Apr 27, 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

Katrina Ling

Title

Owner

Phone

(310) 480-4556

Specialties & licenses 1

Addresses

Listed as

Mary, Queen of Angels HospiceCCN 751738

Ownership

For-Profit

Certified

Sep 25, 2015

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Affiliated clinicians 2

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

• Andreh Carapiet, M.D.

  • Internal Medicine Physician
  • Glendale, CA
  • NPI 1649520909

  Hospice

  Care Compare affiliation Name & address match
• Vimal J Ponnezhan, MD

  • Pulmonary Disease Physician
  • Los Angeles, CA
  • NPI 1366653354

  Hospice

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714176000000",
    "number": "1801223805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10990 WARNER AVE STE E",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083849",
            "telephone_number": "855-226-9603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10990 WARNER AVE",
            "address_2": "UNIT E",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083849",
            "telephone_number": "855-226-9603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY, QUEEN OF ANGELS HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-04",
        "last_updated": "2024-04-27",
        "certification_date": "2024-04-27",
        "status": "A",
        "authorized_official_last_name": "LING",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-480-4556"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Megan Martinez, MSW
• Roxanne Martinez
• Sandra Martinez
• Stephanie Martinez
• Tarun Marwaha, M.D.
• Tracy Mason, PSY.D.
• Massage Paradises Inc
• Miki Masuda, AGNP ADULT/GERIATRIC
• Matrix Rehabilitation, Inc. (Select Physical Therapy)
• Dean M. Matsumae, D.C.

• Community Based Hospice Care Agency in Fountain Valley, CA
• Providers in Fountain Valley, 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 Apr 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.