Alta Verdugo Consulting Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ALTA VERDUGO CONSULTING INC

Doing business as

Verdugo Hospice Care Center

Practice address

4170 Verdugo Rd
Los Angeles, CA 90065-3821

Phone

(323) 257-5715

NPI assigned

Oct 9, 2006

Last updated

Aug 22, 2020By 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

Robina Krikorian

Title

Ceo

Phone

(323) 257-5715

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• VERDUGO HOSPICE CARE CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902993140. Details of each certification follow.

• CCN 051772 Hospice · Active · Details

Hospice certification: CCN 051772

Legal name

ALTA VERDUGO CONSULTING INC

Doing business as

VERDUGO HOSPICE CARE CENTER

Certification status

Active

Provider type (POS)

Hospice

Participating since

Feb 25, 2004

Last certification

Feb 8, 2019

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Enrollment address

4170 Verdugo Rd
Los Angeles, CA 90065-3821

Listed as

Verdugo Hospice Care CenterCCN 051772 · All quality measures

Ownership

For-Profit

Certified

Feb 25, 2004

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Alta Verdugo Consulting Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Alta Verdugo Consulting, Inc

  dba vERDUGo Hospice Care Center

  • Community Based Hospice Care Agency
  • Rancho Cucamonga, CA
  • NPI 1437323565
  NPD tax ID

Locations

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.

Owners & managing parties with NPI records 1

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

• Ayuna K Panossian, MD

  • Family Medicine Physician
  • Burbank, CA
  • NPI 1952423014

  Contracted Managing Employee

  CMS ownership

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.

• Vigoosh Badalian, R.D.

  • Registered Dietitian
  • Los Angeles, CA
  • NPI 1205179033
  NPD (past)

Affiliated clinicians 3

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

• Ghassan Hadi, M.D.

  • Internal Medicine Physician
  • Upland, CA
  • NPI 1558497891

  Hospice

  Care Compare affiliation
• Ousama Ismael, MD

  • Internal Medicine Physician
  • San Bernardino, CA
  • NPI 1740451079

  Hospice

  Care Compare affiliation
• Ayuna K Panossian, MD

  • Family Medicine Physician
  • Burbank, CA
  • NPI 1952423014

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902993140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4170 VERDUGO RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900653821",
            "telephone_number": "323-257-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4170 VERDUGO RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900653821",
            "telephone_number": "323-257-5715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTA VERDUGO CONSULTING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRIKORIAN",
        "authorized_official_first_name": "ROBINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-257-5715"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HPC01772F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VERDUGO HOSPICE CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Winston Drew Alt, MD
• Alta Centers, Inc. (Alta Centers)
• Alta Los Angeles Hospital, Inc (Los Angeles Hospital)
• Alta Los Angeles Hospitals, Inc. (Los Angeles Comm Hosp, Norwalk Comm Hosp & LA Comm Hosp at Bellflower)
• Alta Salud
• Resha Altai
• Altamed
• Altamed Health Network Inc (AltaMed Health Services Corp)
• Altamed Health Services (Altamed Lincoln Heights ADHC)
• Altamed Health Services

• Community Based Hospice Care Agency in Los Angeles, CA
• Providers in Los Angeles, 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 Aug 22, 2020; 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.