Organization Active NPI

Optimal Hospice, Inc.

  • Community Based Hospice Care Agency
  • Stockton, CA
National Provider Identifier
1821166745
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
550000173 Issued in CA
Legal business name
OPTIMAL HOSPICE, INC.
Practice address
2800 W March LN Ste 110
Stockton, CA 95219-8220
Phone
(209) 670-8000
Fax
(209) 670-8020
NPI assigned
Nov 30, 2006
Organization subpart
Yes
Parent organization
OPTIMAL HEALTH SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Authorized official

Name
Alex Mauricio
Title
Ceo
Phone
(801) 325-0175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 550000173 CA Primary

Addresses

Primary practice location

2800 W March LN Ste 110
Stockton, CA 95219-8220

Mailing address

206 N 2100 W Ste 202
Salt Lake City, UT 84116-4741
Phone (801) 325-0175

Other identifiers 1

IdentifierTypeStateIssuer
HPC01793FMedicaidCA

Other names 1

  • Bristol Hospice - Stockton Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051228000707 CA Part A Provider - Hospice 6507858735 Practice locations: Modesto, CA; Stockton, CA

Hospice certification: CCN 051793

Legal name
OPTIMAL HOSPICE, INC.
Doing business as
BRISTOL HOSPICE - STOCKTON
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 6, 2006
Last certification
Mar 20, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Apr 22, 1998 in CA
Enrollment address
2800 W March LN
Ste 110
Stockton, CA 95219-8220

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Bristol Hospice- StocktonCCN 051793
Ownership
For-Profit
Certified
Sep 6, 2006
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2177940Bristol Hospice - Stockton2800 W March Lane Suite 110, Stockton, CA 95219Certificate of waiverJan 21, 2028

National Provider Directory

National Provider Directory
Tax ID family
Optimal Hospice Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2800 W March Ln
Ste 110
Stockton, CA 95219
Phone (209) 473-3650

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Bristol Hospice Holdings Inc Organization, Salt Lake City, UT Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 13, 2018 100%
Optimal Health Services, Inc. Organization, Salt Lake City, UT Corporation, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2004 100%
Alex Edward Mauricio Individual Corporate OfficerPresident & Ceo Jan 1, 2023
Corporate DirectorDirector Jan 1, 2023
Operational/Managerial ControlPresident & Ceo Jan 1, 2023
Webster Equity Partners Bristol CF LP Organization, Waltham, MA Investment firm 5% Or Greater Indirect Ownership Interest Jan 25, 2022 69.8%
John Charles Garbarino Individual Corporate OfficerSecretary/Treasurer Sep 1, 2023
Corporate DirectorDirector Jul 13, 2018
Webster Equity Partners IV Bristol CF LP Organization, Waltham, MA Investment firm 5% Or Greater Indirect Ownership Interest Jan 25, 2022 5.72%
Michael Derrick Individual Corporate OfficerCfo Sep 1, 2023
Betty J Brennan Individual Corporate DirectorDirector Jul 13, 2018
Richard J Heck Individual Contracted Managing EmployeeMedical Director Apr 1, 2019
Bristol Ultimate Holdco, LP Organization, Salt Lake City, UT Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 25, 2022 100%
Brennen Buttram Individual W-2 Managing EmployeeAd; Sep 1, 2023
Aware Super Pty, LTD. Organization, Sydney, IN LLC, Investment firm 5% Or Greater Indirect Ownership Interest Jan 24, 2022 8.28%
Bristol Hospice, L.L.C. Organization, Salt Lake City, UT LLC, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 13, 2018 100%
Deepak K Shrivastava Individual Contracted Managing EmployeeMedical Director May 16, 2015
Bristol Hospice Topco Inc Organization, Salt Lake City, UT Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 13, 2018 100%
David a Malm Individual Corporate OfficerVice President Sep 1, 2023
Corporate DirectorDirector Jul 13, 2018

Owners & managing parties with NPI records 2

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

Facilities with the same owner 52

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 52

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771804800000",
    "number": "1821166745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N 2100 W STE 202",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841164741",
            "telephone_number": "801-325-0175",
            "fax_number": "801-478-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 W MARCH LN STE 110",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952198220",
            "telephone_number": "209-670-8000",
            "fax_number": "209-670-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL HOSPICE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPTIMAL HEALTH SERVICES, INC.",
        "enumeration_date": "2006-11-30",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A",
        "authorized_official_last_name": "MAURICIO",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-325-0175"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "550000173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HPC01793F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bristol Hospice - Stockton",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bristol Hospice - Stockton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.