Mission Hospice Services of Ontario, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MISSION HOSPICE SERVICES OF ONTARIO, INC.

Practice address

901 Via Piemonte
Suite 120
Ontario, CA 91764-6596

Phone

(888) 871-0766

Fax

(866) 551-0846

NPI assigned

Jun 29, 2016

Organization subpart

Yes

Parent organization

MISSION HEALTHCARE SERVICES, INC.As reported in NPPES

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

Authorized official

Name

Mr. Dominic Kingdamo

Title

Paralegal

Phone

(619) 757-2700

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Kerry E.W. Pawl, DPT

  • Physical Therapist
  • San Marcos, CA
  • NPI 1669595112
  NPD
• Roberto Eli Ayala

  • Occupational Therapist
  • Ontario, CA
  • NPI 1922695816
  NPD (past)

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1871944926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2385 NORTHSIDE DR",
            "address_2": "SUITE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921082727",
            "telephone_number": "619-757-2700",
            "fax_number": "888-309-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 VIA PIEMONTE",
            "address_2": "SUITE 120",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917646596",
            "telephone_number": "888-871-0766",
            "fax_number": "866-551-0846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION HOSPICE SERVICES OF ONTARIO, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MISSION HEALTHCARE SERVICES, INC.",
        "enumeration_date": "2016-06-29",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "KINGDAMO",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_title_or_position": "PARALEGAL",
        "authorized_official_telephone_number": "619-757-2700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel F Miranda
• Melinda Miranda
• Monterey Samie Miranda
• Paige Miser
• Mission Home Health of Ontario LLC
• Kristi Sue Mistone, SPEECH PATHOLOGIST
• Shreena Mistry, DDS
• Angela Mitchell Trejo
• Ashley Mitchell
• Brandi Marie Mitchell, PPO

• Community Based Hospice Care Agency in Ontario, CA
• Providers in Ontario, 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 29, 2016; 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.