ANGEL CITY HOSPICE CARE INC (NPI# 1285176008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285176008 |
| Entity Type | Organization |
| Organization Name | ANGEL CITY HOSPICE CARE INC |
| Practice Address |
17777 Center Court Dr N Suite 250 Cerritos CA 90703-9320 |
| Practice Telephone | 5628600100 |
| Practice Fax Number | 5624025090 |
| Mailing Telephone | 5628600100 |
| Mailing Fax Number | 5624025090 |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2016-11-10 |
| Authorized Official Name | JONE JADE A BAUTISTA (OWNER) |
| Authorized Official Telephone | 5628600100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
550001001 | CA | Ambulatory Health Care Facilities |
| Street Address |
17777 CENTER COURT DR N SUITE 250 |
| City | CERRITOS |
| State | CA |
| Zip Code | 90703-9320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265614044 | Angel City Hospice Care, Inc. | Hospice Care, Community Based | 17777 Center Court Dr N, Suite 250, Cerritos, CA 90703-9320 | 2007-12-03 |
| 1215471149 | Autism Spectrum Support Center, LLC | Counselor | 17777 Center Court Dr N, Suite 600, Cerritos, CA 90703-9320 | 2016-12-12 |
| 1821472564 | Berkeley Global Solutions Inc | Non-emergency Medical Transport (VAN) | 17777 Center Court Dr N, 600, Cerritos, CA 90703-9320 | 2015-07-13 |
| 1962800276 | Michael Rigas | Pharmacist | 17777 Center Court Dr N, Suite 550, Cerritos, CA 90703-9320 | 2014-12-18 |
| 1811214216 | Kabafusion, LLC | Durable Medical Equipment & Medical Supplies | 17777 Center Court Dr N, Suite 175, Cerritos, CA 90703-9320 | 2010-04-23 |
| 1689902603 | Kimber Kathleen Watson Nelson | Physician Assistant | 17777 Center Court Dr N, Suite 400, Cerritos, CA 90703-8567 | 2009-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909582 | Michael Wong Dental Corporation | Dentist | 11549 South Street, Cerritos, CA 90703 | 2020-10-15 |
| 1144837139 | Essential California Ipa Inc. | Health Maintenance Organization | 1800 Studebaker Rd., 100, Cerritos, CA 90703 | 2020-09-24 |
| 1447868377 | Auxilium Health Network, Inc. | Health Maintenance Organization | 18000 Studebaker Dr, Cerritos, CA 90703 | 2020-07-16 |
| 1154939098 | Absolute Medical Partners, A Professional Medical Corporation | Health Maintenance Organization | 18000 Studebaker Rd., Ste 100, Cerritos, CA 90703 | 2020-07-16 |
| 1558906487 | Vitruvian Care, Inc. | Health Maintenance Organization | 18000 Studebaker Road Suite 100, Cerritos, CA 90703 | 2019-11-14 |
| 1841843554 | Ha Tran Tsai Dental Corporation | Dentist | 16466 Norwalk Boulevard, Cerritos, CA 90703 | 2019-07-22 |
| 1457828097 | Angela Ofoegbu | Registered Nurse | 10733 Elgers St, Cerritos, CA 90703 | 2018-11-01 |
| 1689183352 | Zeela G Diwa | Occupational Therapist | 12736 Palm Street, Cerritos, CA 90703 | 2017-09-26 |
| 1114446119 | Cooper Lee | Physical Therapist | 18503 Noran Ave, Cerritos, CA 90703 | 2017-09-12 |
| 1295259141 | Miyeon Vivienne Lee | Nurse Practitioner | 13337 South Street #158, Cerritos, CA 90703 | 2017-08-02 |
| Find all providers in zip 90703 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336540087 | Han Orthopaedics | Clinic/Center | 11911 Artesia Blvd, Suite 105, Cerritos, CA 90701-4065 | 2014-09-12 |
| 1679846257 | Caremore | Clinic/Center | 12900 Park Plaza Dr Ste 150, Cerritos, CA 90703-9329 | 2012-02-14 |
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| 1811517832 | D.e. Garrison, D.o., Inc. | Clinic/Center | 3209 Esplanade Ste 120, Chico, CA 95973-0154 | 2020-04-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.