Blue Bird Hospice

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

BLUE BIRD HOSPICE

Practice address

21700 Golden Triangle Rd Ste 104a
Santa Clarita, CA 91350-2616

Phone

(310) 849-4541

NPI assigned

May 24, 2021

Organization subpart

No

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

Authorized official

Name

Pavel Ksendz, RNNPI 1790406882

Title

Administrator/DPCS

Phone

(310) 849-4541

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Pavel Ksendz, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Santa Clarita, CA
  • NPI 1790406882
  NPD Authorized official

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1891360772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21700 GOLDEN TRIANGLE RD STE 104A",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913502616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21700 GOLDEN TRIANGLE RD STE 104A",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913502616",
            "telephone_number": "310-849-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE BIRD HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "KSENDZ",
        "authorized_official_first_name": "PAVEL",
        "authorized_official_title_or_position": "ADMINISTRATOR/DPCS",
        "authorized_official_telephone_number": "310-849-4541",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKenna Blake
• Danielle Blanco
• George Lawrence Blankinship III, M.D.
• Blossom Spectrum Services LLC
• Taiwana Blount
• Arnold I Blumenfeld, PHD
• Kevin G Bolder, AU.D.
• Sofia Izabella Bonaventura
• Karina Bonilla
• Rebekah Boning, OTR

• Community Based Hospice Care Agency in Santa Clarita, CA
• Providers in Santa Clarita, 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 May 24, 2021; 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.