South Valley Hospice Services Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SOUTH VALLEY HOSPICE SERVICES INC

Practice address

30851 Agoura Rd Ste 105
Agoura Hills, CA 91301-4343

Phone

(818) 227-0070

Fax

(818) 227-0090

NPI assigned

Nov 3, 2006

Last updated

Jun 21, 2018By 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

Mrs. Eugenia Sotomayor

Title

Administrator

Phone

(818) 227-0070

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 1871672303. Details of each certification follow.

• CCN 551618 Hospice · Active · Details

Hospice certification: CCN 551618

Legal name

SOUTH VALLEY HOSPICE SERVICES, INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Nov 23, 2011

Last certification

Jul 9, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Enrollment address

30851 Agoura Rd
Ste 105
Agoura Hills, CA 91301-4343

Listed as

South Valley Hospice Services, Inc.CCN 551618 · All quality measures

Ownership

For-Profit

Certified

Nov 23, 2011

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 4

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.

• Bader Iqbal, M.D.

  • Family Medicine Physician
  • Thousand Oaks, CA
  • NPI 1346254364

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

  CMS ownership

Affiliated clinicians 4

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

• Lucia Loredana Dattoma, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Simi Valley, CA
  • NPI 1164628384

  Hospice

  Care Compare affiliation
• Zoya Furman, M.D.

  • Internal Medicine Physician
  • Thousand Oaks, CA
  • NPI 1083635205

  Hospice

  Care Compare affiliation
• Aamir Iqbal, M.D.

  • Hospitalist Physician
  • Thousand Oaks, CA
  • NPI 1174054019

  Hospice

  Care Compare affiliation
• Bader Iqbal, M.D.

  • Family Medicine Physician
  • Thousand Oaks, CA
  • NPI 1346254364

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1871672303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30851 AGOURA RD STE 105",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014343",
            "telephone_number": "818-227-0070",
            "fax_number": "818-227-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30851 AGOURA RD STE 105",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014343",
            "telephone_number": "818-227-0070",
            "fax_number": "818-227-0090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20301 Ventura Blvd",
            "address_2": "Suite 351",
            "address_purpose": "LOCATION",
            "city": "Woodland Hills",
            "state": "CA",
            "postal_code": "913640957",
            "country_code": "US",
            "telephone_number": "818-227-0070",
            "fax_number": "818-227-0090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTH VALLEY HOSPICE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "SOTOMAYOR",
        "authorized_official_first_name": "EUGENIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-227-0070",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Smith
• Vivian N Sobel, L.AC. DIPL AC.
• Ali Soltanirad, DDS
• Dena Somerfield
• Dawn Adrian Soto
• Kenneth Francis Spaulding Jr., MD
• Speech Therapy and Beyond Inc
• Sprout West, LLC
• Dhivya Srinivasa, M.D.
• Stacey Datnow, LCSW, Inc.

• Community Based Hospice Care Agency in Agoura Hills, CA
• Providers in Agoura Hills, 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 Jun 21, 2018; 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.