Goldstone Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

GOLDSTONE HOSPICE INC

Practice address

15480 Arrow Hwy Ste 206
Baldwin Park, CA 91706-1863

Phone

(818) 334-0303

NPI assigned

Aug 10, 2020

Last updated

Aug 10, 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

Aris Alex Azdaridis

Title

Ceo

Phone

(818) 334-0303

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912518341. Details of each certification follow.

• CCN B51540 Hospice · Active · Details

Hospice certification: CCN B51540

Legal name

GOLDSTONE HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 28, 2022

Last certification

Sep 28, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Enrollment address

15480 Arrow Hwy
Ste 206
Baldwin Park, CA 91706-1863

Listed as

Goldstone Hospice, Inc.CCN B51540 · All quality measures

Certified

Sep 28, 2022

Medicare certification status

ActiveFrom the Provider of Services file

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.

• Peter John Niciforos, M.D.

  • Family Medicine Physician
  • San Bernardino, CA
  • NPI 1356359277

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 1

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

• Syed M Hossain, M.D. .

  • Family Medicine Physician
  • Compton, CA
  • NPI 1083787907

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597017600000",
    "number": "1912518341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15480 ARROW HWY STE 206",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917061863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15480 ARROW HWY STE 206",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917061863",
            "telephone_number": "818-334-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDSTONE HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A",
        "authorized_official_last_name": "AZDARIDIS",
        "authorized_official_first_name": "ARIS",
        "authorized_official_middle_name": "ALEX",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-334-0303"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate Isabel Gocela
• Brenda Godoy
• Samantha Goff, PA
• Susan Goldman, MD
• Aleeza Reyes Goldstein, PA-C
• Aida Gomez, NP
• James Gomez
• Maria Fatima Gomez, MD
• Rosario Gomez, M.A. SLP CCC
• Cindy Marie Gonzales

• Community Based Hospice Care Agency in Baldwin Park, CA
• Providers in Baldwin Park, 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 10, 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.