Organization Active NPI

Majestic Palliative Care LLC

  • General Practice Physician
  • Morgan Hill, CA
National Provider Identifier
1942075437
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MAJESTIC PALLIATIVE CARE LLC
Practice address
16360 Monterey St Ste 140
Morgan Hill, CA 95037-5454
Phone
(408) 779-0100
Fax
(408) 779-0300
NPI assigned
Nov 15, 2023
Last updated
Dec 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Authorized official

Name
Ali WarriachNPI 1417577958
Title
President
Phone
(408) 779-0100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X NU
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

16360 Monterey St Ste 140
Morgan Hill, CA 95037-5454

Mailing address

16360 Monterey St Ste 140
Morgan Hill, CA 95037-5454
Phone (408) 779-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240205003332 CA Part B Supplier - Clinic/Group Practice 4688017817 Receives reassigned benefits from 5 practitioners
Practice locations: Morgan Hill, CA
O20241023001805 AZ Part B Supplier - Clinic/Group Practice 4688017817 Receives reassigned benefits from 1 practitioner
Practice locations: Chandler, AZ

National Provider Directory

National Provider Directory

Locations

900 W Chandler Blvd
Ste A-6
Chandler, AZ 85225
Phone (408) 779-0100

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1942075437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16360 MONTEREY ST STE 140",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950375454",
            "telephone_number": "408-779-0100",
            "fax_number": "408-779-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16360 MONTEREY ST STE 140",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950375454",
            "telephone_number": "408-779-0100",
            "fax_number": "408-779-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJESTIC PALLIATIVE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-15",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "WARRIACH",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-779-0100"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.