Medplus Hospice Services

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MEDPLUS HOSPICE SERVICES

Practice address

555 N Benson Ave Ste D
Upland, CA 91786-5075

Phone

(909) 946-2555

Fax

(909) 946-2205

NPI assigned

May 15, 2009

Last updated

Mar 29, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Oganes Margaryan

Title

Ceo

Phone

(909) 946-2255

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841425170. Details of each certification follow.

• CCN 921519 Hospice · Active · Details

Hospice certification: CCN 921519

Legal name

MEDPLUS HOSPICE SERVICES

Certification status

Active

Provider type (POS)

Hospice

Participating since

Oct 23, 2013

Last certification

Feb 5, 2020

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Oct 31, 2008 in CA

Enrollment address

555 N Benson Ave
Ste D
Upland, CA 91786-5075

Listed as

Medplus Hospice ServicesCCN 921519 · All quality measures

Ownership

For-Profit

Certified

Oct 23, 2013

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

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.

Owners & managing parties with NPI records 1

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

• Vandana Agarwal, MD

  • Hematology & Oncology Physician
  • Pomona, CA
  • NPI 1134124548

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Hedyeh Mohajerin Golshan, M.D.

  • Internal Medicine Physician
  • Rialto, CA
  • NPI 1174582688

  Hospice

  Care Compare affiliation
• Ginger Lina Leon, D.O.

  • Family Medicine Physician
  • Montclair, CA
  • NPI 1245234780

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1242345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1841425170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N BENSON AVE STE D",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865075",
            "telephone_number": "909-946-2255",
            "fax_number": "909-946-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N BENSON AVE STE D",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865075",
            "telephone_number": "909-946-2555",
            "fax_number": "909-946-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDPLUS HOSPICE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-15",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "MARGARYAN",
        "authorized_official_first_name": "OGANES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-946-2255"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Megan Dean Lactation
• Bijal Mehta, FNP
• Lidania Gabriela Mejia Gonzalez,
• Marilyn Mejia
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• Community Based Hospice Care Agency in Upland, CA
• Providers in Upland, 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 Mar 29, 2022; 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.

Verify at the official NPI Registry.