Active NPI
Assist on Call Palliative & Hospice Care, Inc.
- Community Based Hospice Care Agency
- Pleasant Hill, CA
National Provider Identifier
1801430335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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, 2019
- 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
- Mrs. Terry Cruz
- Title
- President/Ceo
- Phone
- (925) 969-7634
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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, Inc
- Certified
- Oct 9, 2023
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Maria Lourdes B Yambao | 5% Or Greater Direct Ownership Interest | Oct 1, 2019 | 16.66% |
| Corporate Officer | Oct 1, 2019 | 100% | |
| Corporate Director | Oct 1, 2019 | 100% | |
| Yuri Douglas Ventanilla | W-2 Managing Employee | Oct 21, 2024 | |
| Terry Cruz | 5% Or Greater Direct Ownership Interest | Oct 1, 2019 | 33.34% |
| Corporate Officer | Oct 1, 2019 | 100% | |
| Corporate Director | Oct 1, 2019 | 100% | |
| W-2 Managing Employee | Oct 8, 2025 | 100% | |
| Antonio L. Basa | 5% Or Greater Direct Ownership Interest | Oct 1, 2019 | 16.67% |
| Corporate Officer | Oct 1, 2019 | 100% | |
| Corporate Director | Oct 1, 2019 | 100% | |
| Olivia de Guzman | W-2 Managing Employee | Oct 21, 2024 | |
| Haydee Reyes | 5% Or Greater Direct Ownership Interest | Oct 1, 2019 | 33.33% |
| Corporate Officer | Oct 1, 2019 | 100% | |
| Corporate Director | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.