Organization Active NPI

Da Vinci Hospice Care Inc

  • Community Based Hospice Care Agency
  • Pasadena, CA
National Provider Identifier
1811573785
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
DA VINCI HOSPICE CARE INC
Practice address
107 S Fair Oaks Ave Ste 215
Pasadena, CA 91105-2081
Phone
(626) 313-3540
NPI assigned
Mar 22, 2021
Last updated
Mar 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Authorized official

Name
Vahe Tonoyan
Title
Ceo
Phone
(626) 313-3540

Specialties & licenses 1

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

Addresses

Primary practice location

107 S Fair Oaks Ave Ste 215
Pasadena, CA 91105-2081

Mailing address

107 S Fair Oaks Ave Ste 215
Pasadena, CA 91105-2081
Phone (626) 313-3540

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211228000147 CA Part A Provider - Hospice 2264823327 Practice locations: Pasadena, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811573785. Details of each certification follow.

Hospice certification: CCN B41547

Legal name
DA VINCI HOSPICE CARE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 29, 2022
Last certification
Jun 23, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Enrollment address
107 S Fair Oaks Ave
Ste 215
Pasadena, CA 91105-2081

Care Compare: Hospice

Medicare Care Compare
Listed as
Da Vinci Hospice Care IncCCN B41547 · All quality measures
Certified
Jun 29, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

107 S Fair Oaks Ave
Ste 215
Pasadena, CA 91105
Phone (626) 313-3540

Ownership & related parties

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.

NameRoleSinceShare
Vahe Tonoyan Individual 5% Or Greater Direct Ownership InterestCeo Mar 3, 2021 100%
Corporate OfficerCeo Mar 3, 2021 100%
Corporate DirectorCeo Mar 3, 2021 100%
W-2 Managing EmployeeAd;Ceo Mar 3, 2021 100%
Vera M Kleynberg Individual Contracted Managing EmployeeMD; Dec 1, 2025
Anna Parvanian Individual W-2 Managing EmployeeDPCS Aug 1, 2025

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

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.

Affiliated clinicians 3

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": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616371200000",
    "number": "1811573785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S FAIR OAKS AVE STE 215",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052081",
            "telephone_number": "626-313-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S FAIR OAKS AVE STE 215",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052081",
            "telephone_number": "626-313-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DA VINCI HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "TONOYAN",
        "authorized_official_first_name": "VAHE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-313-3540"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.