NPIMap

Organization Active NPI

Safe Mission Hospice & Palliative Care Inc

  • Community Based Hospice Care Agency
  • Canoga Park, CA
National Provider Identifier
1881292670
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SAFE MISSION HOSPICE & PALLIATIVE CARE INC
Practice address
7345 Topanga Canyon Blvd Ste 230
Canoga Park, CA 91303-1244
Phone
(818) 538-5514
Fax
(818) 587-5719
NPI assigned
Oct 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Authorized official

Name
Juan Leandro Pamintuan
Title
Ceo
Phone
(818) 538-5514

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

7345 Topanga Canyon Blvd Ste 230
Canoga Park, CA 91303-1244

Mailing address

7345 Topanga Canyon Blvd Ste 230
Canoga Park, CA 91303-1244
Phone (818) 538-5514

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201210000838 CA Part A Provider - Hospice 1850703174 Practice locations: Canoga Park, CA

Hospice certification: CCN B41523

Legal name
SAFE MISSION HOSPICE & PALLIATIVE CARE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 14, 2022
Last certification
Apr 14, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Oct 5, 2020 in CA
Enrollment address
7345 Topanga Canyon Blvd
Ste 230
Canoga Park, CA 91303-1244

Care Compare: Hospice

Medicare Care Compare
Listed as
Safe Mission Hospice & Palliative Care IncCCN B41523
Certified
Apr 14, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

7345 Topanga Canyon Blvd
Ste 230
Canoga Park, CA 91303
Phone (747) 400-8000

Ownership & related parties

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.

NameRoleSinceShare
Pedram Shirzad Individual Contracted Managing EmployeeMedical Director Nov 1, 2023
Aristotle E Santos Individual 5% Or Greater Direct Ownership InterestCfo/Board Member Nov 23, 2022 50%
Corporate OfficerCfo/Board Member Nov 23, 2022 50%
Corporate DirectorCfo/Board Member Nov 23, 2022 50%
W-2 Managing EmployeeDirector of Patient Care Services Nov 23, 2022 50%
Operational/Managerial ControlCfo/Board Member Nov 23, 2022 50%
Juan L D Pamintuan Individual 5% Or Greater Direct Ownership InterestCeo/Sec/Board Member Nov 23, 2022 50%
Corporate OfficerCeo/Sec/Board Member Nov 23, 2022 50%
Corporate DirectorCeo/Sec/Board Member Nov 23, 2022 50%
W-2 Managing EmployeeAdministrator Nov 23, 2022 50%
Operational/Managerial ControlCeo/Sec/Board Member Nov 23, 2022 50%

Owners & managing parties with NPI records 2

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

  • Aristotle Santos
    • Family Nurse Practitioner
    • Norwalk, CA
    • NPI 1932659695

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

    CMS ownership
  • Pedram Shirzad, D.O.
    • Family Medicine Physician
    • Mission Hills, CA
    • NPI 1164458816

    Contracted Managing Employee

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1881292670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7345 TOPANGA CANYON BLVD STE 230",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031244",
            "telephone_number": "818-538-5514",
            "fax_number": "818-587-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7345 TOPANGA CANYON BLVD STE 230",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031244",
            "telephone_number": "818-538-5514",
            "fax_number": "818-587-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE MISSION HOSPICE & PALLIATIVE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-13",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "PAMINTUAN",
        "authorized_official_first_name": "JUAN LEANDRO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-538-5514"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

Verify at the official NPI Registry.