Optima Care Home Health Services, Inc.
Organization Active NPI Home Health Agency · Ontario, CA
NPI 1851628846 · NPPES record last updated Aug 25, 2025
Key facts
- NPI
- 1851628846
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 550000785 (CA)
- Legal business name
- OPTIMA CARE HOME HEALTH SERVICES, INC.
- Practice address
- 3633 Inland Empire Blvd Ste 550
Ontario, CA 91764-4971 - Phone
- (866) 626-8020
- Fax
- (909) 980-0004
- NPI assigned
- Nov 11, 2009
- Organization subpart
- No
Authorized official
- Name
- Mr. Ramon Alan T De Leon
- Title
- President - Ceo / Owner
- Phone
- (866) 626-8020
Affiliated clinicians 21
-
Judith Adela Cagan, M.D.
-
Caroline G Choan, MD
-
Mary Eguia, M.D.
-
Marwan G Fakih, MD
-
Calvin G Hagglov, M.D.
-
Francisco A Jimenez, M.D.
-
Waasil Kareem, MD
-
Sharon Marie Laughlin, M.D.
-
Sameer Ohri, MD
-
Ricardo Librado Olivo, M.D.
-
Garvin Sidharaj Patel, M.D.
-
Suzanne Rizkalla, M.D.
-
Andro Sharobiem, M.D.
-
Ravinder Singh, M.D.
-
Kyle N Smart, DO
Medicare Care Compare: Home health agency
- Listed as
- Optima Care Home Health Services Inc
- Overall star rating
- ★★★★★ 4.5 of 5
- Ownership
- Proprietary
- Certified
- Aug 19, 2009
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1056609 | Optima Care Home Health Services Inc | Certificate of waiver | Jul 19, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Home health agency certification: CCN 059099
- Legal name
- OPTIMA CARE HOME HEALTH SERVICES, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Aug 19, 2009
- Last certification
- Aug 9, 2018
- Ownership / control type
- Proprietary
- Organization structure
- Corporation · Proprietary
- Incorporated
- Feb 14, 2006 in CA
- Enrollment address
- 4686 Ontario Mills Pkwy
Ste 201
Ontario, CA 91764-5104
All disclosed owners & managing parties 3
| Name | Role | Since | Share |
|---|---|---|---|
| Maria Amabel N de Leon |
5% Or Greater Direct Ownership Interest |
Jul 14, 2017 | 50% |
| Corporate Officer |
Jul 14, 2017 | 50% | |
| Corporate Director |
Jul 14, 2017 | 50% | |
| W-2 Managing Employee |
Jul 14, 2017 | 10% | |
| Ramon Alan T de Leon |
5% Or Greater Direct Ownership Interest |
Jul 14, 2017 | 50% |
| Corporate Officer |
Jul 14, 2017 | 50% | |
| W-2 Managing Employee |
Jul 14, 2017 | 10% | |
| Jamiely Gay R Gallao |
W-2 Managing Employee |
Aug 30, 2018 | 80% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060417000777 | CA | Part a Provider - Home Health Agency | 3476562687 | Practice locations: Ontario, CA |
National Provider Directory
Locations
8880 Benson Ave
Ste 102
Montclair, CA 91763
Phone (909) 626-8600
3633 Inland Empire Blvd
Ste 550
Ontario, CA 91764
Phone (866) 626-8020
4686 Ontario Mills Pkwy
Ste 201
Ontario, CA 91764
Phone (866) 626-8020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 550000785 | CA | Yes |
Addresses
Primary practice location
3633 Inland Empire Blvd Ste 550
Ontario, CA 91764-4971
Mailing address
3633 Inland Empire Blvd Ste 550
Ontario, CA 91764-4971
Phone (866) 626-8020
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 059099 | Other | CA | MEDICARE |
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All providers in Ontario, CA · Home Health Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.