San Gabriel Hospice & Palliative Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

550002984 Issued in CA

Legal business name

SAN GABRIEL HOSPICE & PALLIATIVE CARE INC

Practice address

1417 W Kenneth Rd Ste B
Glendale, CA 91201-1487

Phone

(818) 532-4011

Fax

(818) 960-0034

NPI assigned

Jun 12, 2013

Organization subpart

No

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

Authorized official

Name

Kevin Sarkisyan

Title

Ceo

Phone

(818) 532-4011

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lienio Ferreira De Souza, NP-C

  • Primary Care Nurse Practitioner
  • Corona, CA
  • NPI 1467989269
  NPD (past)

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493683200000",
    "number": "1821436874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 W KENNETH RD STE B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011487",
            "telephone_number": "818-532-4011",
            "fax_number": "818-960-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 W KENNETH RD STE B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011487",
            "telephone_number": "818-532-4011",
            "fax_number": "818-960-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN GABRIEL HOSPICE & PALLIATIVE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-12",
        "last_updated": "2017-05-02",
        "status": "A",
        "authorized_official_last_name": "SARKISYAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-532-4011"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "550002984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Glendale, CA
• Providers in Glendale, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.