Organization Active NPI

Assist on Call Palliative & Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • Pleasant Hill, CA
National Provider Identifier
1801430335
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ASSIST ON CALL PALLIATIVE & HOSPICE CARE, INC.
Doing business as
Assist On Call Palliative & Hospice Care, Inc.
Practice address
2100 Monument Blvd Ste 8-B
Pleasant Hill, CA 94523-3489
Phone
(925) 969-7634
Fax
(925) 969-7636
NPI assigned
Oct 28, 2019
Last updated
Oct 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Authorized official

Name
Mrs. Terry Cruz
Title
President/Ceo
Phone
(925) 969-7634

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

2100 Monument Blvd Ste 8-B
Pleasant Hill, CA 94523-3489

Mailing address

2100 Monument Blvd Ste 8-B
Pleasant Hill, CA 94523-3489
Phone (925) 969-7634

Other names 1

  • Assist On Call Palliative & Hospice Care, Inc. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200714000669 CA Part A Provider - Hospice 7012330764 Practice locations: Pleasant Hill, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801430335. Details of each certification follow.

Hospice certification: CCN B51733

Legal name
ASSIST ON CALL PALLIATIVE & HOSPICE CARE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 9, 2023
Last certification
Sep 20, 2023
Organization structure
CorporationProprietary
Enrollment address
2100 Monument Blvd
Ste 8B
Pleasant Hill, CA 94523-3489

Care Compare: Hospice

Medicare Care Compare
Listed as
Assist on Call Palliative & Hospice Care, IncCCN B51733 · All quality measures
Certified
Oct 9, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

2100 Monument Blvd
Ste 8B
Pleasant Hill, CA 94523
Phone (925) 969-7634

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Maria Lourdes B Yambao Individual 5% Or Greater Direct Ownership InterestOwner Oct 1, 2019 16.66%
Corporate OfficerCorporate Secretary Oct 1, 2019 100%
Corporate DirectorBoard Member Oct 1, 2019 100%
Yuri Douglas Ventanilla Individual W-2 Managing EmployeeDPCS Oct 21, 2024
Terry Cruz Individual 5% Or Greater Direct Ownership InterestOwner Oct 1, 2019 33.34%
Corporate OfficerPresident Oct 1, 2019 100%
Corporate DirectorCeo Oct 1, 2019 100%
W-2 Managing EmployeeAd;MD; Oct 8, 2025 100%
Antonio L. Basa Individual 5% Or Greater Direct Ownership InterestOwner Oct 1, 2019 16.67%
Corporate OfficerBoard Member Oct 1, 2019 100%
Corporate DirectorBoard Member Oct 1, 2019 100%
Olivia de Guzman Individual W-2 Managing EmployeeAdmin- Designee and DPCS Designee Oct 21, 2024
Haydee Reyes Individual 5% Or Greater Direct Ownership InterestOwner Oct 1, 2019 33.33%
Corporate OfficerCfo Oct 1, 2019 100%
Corporate DirectorBoard Member Oct 1, 2019 100%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572220800000",
    "number": "1801430335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MONUMENT BLVD STE 8-B",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945233489",
            "telephone_number": "925-969-7634",
            "fax_number": "925-969-7636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 MONUMENT BLVD STE 8-B",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945233489",
            "telephone_number": "925-969-7634",
            "fax_number": "925-969-7636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSIST ON CALL PALLIATIVE & HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-10-28",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "925-969-7634",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assist On Call Palliative & Hospice Care, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pleasant Hill, CA

Sources for this page

Verify at the official NPI Registry.