Cardinal Hospice and Palliative Care

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CARDINAL HOSPICE AND PALLIATIVE CARE

Practice address

500 N Palm Ave
Ontario, CA 91762-3218

Phone

(909) 395-9676

Fax

(909) 395-9687

NPI assigned

Jun 18, 2020

Organization subpart

No

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

Authorized official

Name

Glodilyn Badilla Mancilla-Almario

Title

Vice President

Phone

(909) 529-3138

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B21704

Legal name

CARDINAL HOSPICE AND PALLIATIVE CARE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 30, 2021

Last certification

Aug 30, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Enrollment address

500 N Palm Ave
Ontario, CA 91762-3218

Listed as

Cardinal Hospice and Palliative CareCCN B21704

Ownership

For-Profit

Certified

Aug 30, 2021

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

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 1

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

• Tony K Tseng, M.D., M.S.

  • Internal Medicine Physician
  • South Gate, CA
  • NPI 1558523670

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1972129641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N PALM AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623218",
            "telephone_number": "909-395-9676",
            "fax_number": "909-395-9687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N PALM AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623218",
            "telephone_number": "909-395-9676",
            "fax_number": "909-395-9687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL HOSPICE AND PALLIATIVE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-18",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "MANCILLA-ALMARIO",
        "authorized_official_first_name": "GLODILYN",
        "authorized_official_middle_name": "BADILLA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "909-529-3138"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.aeomatrix.biz",
            "affiliation": "N",
            "endpointDescription": "Web based program",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "500 N Palm Ave",
            "city": "Ontario",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917623218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• M Zaida Carbajal, D.D.S
• Yecenia Carbajal
• Destiny Carcoba
• Lucy Cardenas
• Ramon Cardenas, RN
• Yasmin Cardona-Byrne
• Jacqueline Cardona
• Lourdes Cardoso, DDS
• Melissa Cardoza
• Jill Rose Urcia Cariazo, R.N., BSN

• Community Based Hospice Care Agency in Ontario, CA
• Providers in Ontario, 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 Sep 29, 2022; 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.