Active NPI
Optimal Hospice, Inc.
- Community Based Hospice Care Agency
- Stockton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 550000173
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HPC01793F | Medicaid | CA |
Other names 1
- Bristol Hospice - Stockton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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- Stockton
- Ownership
- For-Profit
- Certified
- Sep 6, 2006
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2177940 | Bristol Hospice - Stockton | Certificate of waiver | Jan 21, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Optimal Hospice Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Based Hospice Care Agency
- Fresno, CA
- NPI 1164590089
-
- Community Based Hospice Care Agency
- Bakersfield, CA
- NPI 1396726493
-
- Community Based Hospice Care Agency
- Lancaster, CA
- NPI 1689181323
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Bristol Hospice Holdings Inc | 5% Or Greater Indirect Ownership Interest | Jul 13, 2018 | 100% |
| Optimal Health Services, Inc. | 5% Or Greater Direct Ownership Interest | Jan 1, 2004 | 100% |
| Alex Edward Mauricio | Corporate Officer | Jan 1, 2023 | |
| Corporate Director | Jan 1, 2023 | ||
| Operational/Managerial Control | Jan 1, 2023 | ||
| Webster Equity Partners Bristol CF LP | 5% Or Greater Indirect Ownership Interest | Jan 25, 2022 | 69.8% |
| John Charles Garbarino | Corporate Officer | Sep 1, 2023 | |
| Corporate Director | Jul 13, 2018 | ||
| Webster Equity Partners IV Bristol CF LP | 5% Or Greater Indirect Ownership Interest | Jan 25, 2022 | 5.72% |
| Michael Derrick | Corporate Officer | Sep 1, 2023 | |
| Betty J Brennan | Corporate Director | Jul 13, 2018 | |
| Richard J Heck | Contracted Managing Employee | Apr 1, 2019 | |
| Bristol Ultimate Holdco, LP | 5% Or Greater Indirect Ownership Interest | Jan 25, 2022 | 100% |
| Brennen Buttram | W-2 Managing Employee | Sep 1, 2023 | |
| Aware Super Pty, LTD. | 5% Or Greater Indirect Ownership Interest | Jan 24, 2022 | 8.28% |
| Bristol Hospice, L.L.C. | 5% Or Greater Indirect Ownership Interest | Jul 13, 2018 | 100% |
| Deepak K Shrivastava | Contracted Managing Employee | May 16, 2015 | |
| Bristol Hospice Topco Inc | 5% Or Greater Indirect Ownership Interest | Jul 13, 2018 | 100% |
| David a Malm | Corporate Officer | Sep 1, 2023 | |
| Corporate Director | 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.
-
- Family Medicine Physician
- Modesto, CA
- NPI 1821034000
Contracted Managing Employee
-
- Pulmonary Disease Physician
- French Camp, CA
- NPI 1841267317
Contracted Managing Employee
Facilities with the same owner 52
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Community Based Hospice Care Agency
- Merced, CA
- NPI 1487603452
Aware Super Pty, LTD., Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP
-
- Community Based Hospice Care Agency
- Riverside, CA
- NPI 1043683170
Aware Super Pty, LTD., Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP
-
- Community Based Hospice Care Agency
- Ontario, CA
- NPI 1013318112
Aware Super Pty, LTD., Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP
-
- Community Based Hospice Care Agency
- Roseville, CA
- NPI 1235331828
Aware Super Pty, LTD., Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP
-
- Community Based Hospice Care Agency
- Glendale, CA
- NPI 1043449291
Aware Super Pty, LTD., Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP
-
- Community Based Hospice Care Agency
- Lakewood, CA
- NPI 1548217011
Aware Super Pty, LTD., Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP
-
- Community Based Hospice Care Agency
- Costa Mesa, CA
- NPI 1497758593
Aware Super Pty, LTD., Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP
-
- Community Based Hospice Care Agency
- Fresno, CA
- NPI 1164590089
Aware Super Pty, LTD., Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Optimal Health Services, Inc., Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP
-
- Community Based Hospice Care Agency
- Bakersfield, CA
- NPI 1396726493
Aware Super Pty, LTD., Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Optimal Health Services, Inc., Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP
-
- Community Based Hospice Care Agency
- Lancaster, CA
- NPI 1689181323
Aware Super Pty, LTD., Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Optimal Health Services, Inc., Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP
-
- Community Based Hospice Care Agency
- Redding, CA
- NPI 1972918753
Aware Super Pty, LTD., Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP
-
- Community Based Hospice Care Agency
- San Diego, CA
- NPI 1659781045
Aware Super Pty, LTD., Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP
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.
-
- Rehabilitation Chiropractor
- Santa Ana, CA
- NPI 1689708174
Practitioners & affiliated clinicians
Affiliated clinicians 5
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Sleep Medicine (Internal Medicine) Physician
- San Ramon, CA
- NPI 1417910407
Hospice
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; 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.