Dynamic Health Services, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

550000474 Issued in CA

Legal business name

DYNAMIC HEALTH SERVICES, INC

Practice address

596 N Lake Ave
Suite 201
Pasadena, CA 91101-1455

Phone

(626) 405-0449

Fax

(626) 405-0439

NPI assigned

Feb 4, 2009

Organization subpart

No

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

Authorized official

Name

Gina Castromayor

Title

President

Phone

(626) 405-0449

Specialties & licenses 1

Addresses

Other identifiers 1

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Dynamic Health Services - SB

  • Community Based Hospice Care Agency
  • Loma Linda, CA
  • NPI 1083057848
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joel Gallano Ombao, NP-C

  • Family Nurse Practitioner
  • Riverside, CA
  • NPI 1275870628
  NPD (past)

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1891933412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 N LAKE AVE",
            "address_2": "SUITE 201",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011455",
            "telephone_number": "626-405-0449",
            "fax_number": "626-405-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 N LAKE AVE",
            "address_2": "SUITE 201",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011455",
            "telephone_number": "626-405-0449",
            "fax_number": "626-405-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-04",
        "last_updated": "2010-06-15",
        "status": "A",
        "authorized_official_last_name": "CASTROMAYOR",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-405-0449"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "550000474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH SERVICES",
            "identifier": "550000474",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natasha Michelle Dutko
• Shearlena Duty
• James M. Duvall, M.D.
• Justine Duyst, PSYD
• Daniel Philip Dworkin
• Judith Dytman Baldwin, M.A., LMFT
• E.Vicencio-Quevedo M.D. Inc.
• E&V Health, Inc
• E&W Health Clinic
• Leviathan Eamranond

• Community Based Hospice Care Agency in Pasadena, CA
• Providers in Pasadena, 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 15, 2010; 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.