Rsag Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

RSAG HOSPICE, INC.

Practice address

402 W Broadway Ste 400
San Diego, CA 92101-3554

Phone

(619) 810-1939

Fax

(619) 880-5153

NPI assigned

Sep 18, 2020

Organization subpart

No

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

Authorized official

Name

Anna Sukiasyan

Title

Ceo

Phone

(619) 810-1939

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B21610

Legal name

RSAG HOSPICE, INC.

Doing business as

ALIGNED HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Dec 17, 2020

Last certification

Dec 17, 2020

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Aug 26, 2020 in CA

Enrollment address

402 W Broadway
Ste 400
San Diego, CA 92101-3554

Listed as

Rsag Hospice IncCCN B21610

Ownership

For-Profit

Certified

Dec 17, 2020

Medicare certification status

ActiveFrom the Provider of Services file

All disclosed owners & managing parties 6

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 3

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

• Sarabjit Singh Anand, AGNP-C

  • Nurse Practitioner
  • Bakersfield, CA
  • NPI 1710425392

  5% Or Greater Indirect Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership
• Taib Rawi, D.O.

  • Geriatric Medicine (Internal Medicine) Physician
  • San Diego, CA
  • NPI 1316172844

  5% Or Greater Indirect Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership
• Marcia H Yee, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • San Diego, CA
  • NPI 1730268269

  W-2 Managing Employee

  CMS ownership

Practitioners 1

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

• Taib Rawi, D.O.

  • Geriatric Medicine (Internal Medicine) Physician
  • San Diego, CA
  • NPI 1316172844
  NPD

Affiliated clinicians 1

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

• Johanna Aguilar Estrada, M.D.

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • San Diego, CA
  • NPI 1255698155
  Care Compare affiliation

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600387200000",
    "number": "1861008534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 W BROADWAY STE 400",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921013554",
            "telephone_number": "619-810-1939",
            "fax_number": "619-880-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W BROADWAY STE 400",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921013554",
            "telephone_number": "619-810-1939",
            "fax_number": "619-880-5153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RSAG HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "SUKIASYAN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-810-1939"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in San Diego, CA
• Providers in San Diego, 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 Sep 18, 2020; 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.