PEREGRINE HOSPICE, INC. (NPI# 1336122670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336122670 |
| Entity Type | Organization |
| Organization Name | PEREGRINE HOSPICE, INC. |
| Practice Address |
1403 Lomita Blvd Suite 301 Harbor City CA 90710-2076 |
| Practice Telephone | 3105399028 |
| Mailing Telephone | 3105399028 |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. NORMA MAALA SARAO (ADMINISTRATOR/MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3105399028 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | CA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HPC01747F | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437258860 | Peregrine Hospice, Inc. | Hospice Care, Community Based | 3440 W Carson St, Suite 301, Torrance, CA 90503-5730 | 2006-09-22 |
| Street Address |
1403 LOMITA BLVD SUITE 301 |
| City | HARBOR CITY |
| State | CA |
| Zip Code | 90710-2076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285254326 | Olisemeka Okafor | Student in an Organized Health Care Education/Training Program | 1403 Lomita Blvd, Harbor City, CA 90710-2076 | 2020-04-18 |
| 1790340917 | Rosemarie C Byrd | Student in an Organized Health Care Education/Training Program | 1403 Lomita Blvd, Harbor City, CA 90710-2076 | 2019-05-02 |
| 1194288852 | County of Los Angeles - Auditor Controller | Clinic/Center | 1403 Lomita Blvd, Suite 102, Rooms 1-26 & Conference Room, Harbor City, CA 90710 | 2019-04-10 |
| 1912468075 | Shona Clare Lamb | Student in an Organized Health Care Education/Training Program | 1403 Lomita Blvd, Harbor City, CA 90710-2076 | 2019-03-29 |
| 1871028894 | Danny N Kim | Student in an Organized Health Care Education/Training Program | 1403 Lomita Blvd, Suite 200, Harbor City, CA 90710-2076 | 2017-04-27 |
| 1154856649 | Joanne Jeeyoung Cho | Family Medicine | 1403 Lomita Blvd, Suite 200, Harbor City, CA 90710-2076 | 2017-04-22 |
| 1982138699 | Heidi Christina Mock | Student in an Organized Health Care Education/Training Program | 1403 Lomita Blvd, Suite 200, Harbor City, CA 90710-2076 | 2017-04-19 |
| 1811421647 | Vidushi Mehrotra | Student in an Organized Health Care Education/Training Program | 1403 Lomita Blvd, Suite 200, Harbor City, CA 90710-2076 | 2017-04-18 |
| 1992151765 | Jonathan Watson | Student in an Organized Health Care Education/Training Program | 1403 Lomita Blvd, Suite 102, Harbor City, CA 90710-2076 | 2016-05-10 |
| 1194189464 | Lucia A Munoz | Student in an Organized Health Care Education/Training Program | 1403 Lomita Blvd, Suite102, Harbor City, CA 90710 | 2016-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164036018 | Eddie Blackmon IIi | Respiratory Therapist, Registered | 25820 Normandie Ave, Harbor City, CA 90710 | 2020-09-08 |
| 1316502099 | Jennifer Ilene Estey | Nurse Practitioner | 1403 Lomita Blvd Ste 307, Harbor City, CA 90710 | 2019-05-07 |
| 1104398643 | Active Life Home Care Inc | In Home Supportive Care | 760 W. Lomita Blvd., Suite 79, Harbor City, CA 90710 | 2018-12-21 |
| 1073088514 | Ez Access Transportation Corp. | Non-emergency Medical Transport (VAN) | 24328 S Vermont Ave, Suite #313, Harbor City, CA 90710 | 2018-10-11 |
| 1689192791 | County of Los Angeles Auditor Controller | Clinic/Center | 1403 Lomita Blvd., Suite 102, Rooms 1-26 & Conference Room, Harbor City, CA 90710 | 2017-09-08 |
| 1174041347 | Cb Carehome, Inc | Skilled Nursing Facility | 23331 Maltby Place, Harbor City, CA 90710 | 2017-09-07 |
| 1649705682 | Gina Guillaume | Student in an Organized Health Care Education/Training Program | 1403 West Lomita Blvd Suite 200, Harbor City, CA 90710 | 2017-04-27 |
| 1760843213 | Karen Savoni | Social Worker | 25975 Normandie Avenue, Harbor City, CA 90710 | 2016-03-11 |
| 1699148593 | Kaiser Permanente | Health Maintenance Organization | 25965 S. Normandie Aveune, Harbor City, CA 90710 | 2015-11-02 |
| 1164778148 | Thermon Lenelle Carrier | Driver | 1332 W. 254th St, Apt E, Harbor City, CA 90710 | 2012-07-27 |
| Find all providers in zip 90710 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235560947 | Devina Hospice Care Inc | Hospice Care, Community Based | 24404 South Vermont Ave, Suite 307g, Harbor City, CA 90710-2305 | 2013-12-05 |
| 1346615457 | Assure Hospice Care | Hospice Care, Community Based | 24404 Vermont Ave, Suite 303, Harbor City, CA 90710-2313 | 2015-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033955 | Pro-med Hospice Inc | Hospice Care, Community Based | 6621 Van Nuys Blvd, Unit 108, Van Nuys, CA 91405 | 2020-11-08 |
| 1528669207 | La Vida Care Hospice Inc | Hospice Care, Community Based | 6309 Van Nuys Blvd Ste 106, Van Nuys, CA 91401-6613 | 2020-11-08 |
| 1588265276 | Santa Rita Hospice Inc | Hospice Care, Community Based | 7311 Van Nuys Blvd Unit 22, Van Nuys, CA 91405-1999 | 2020-11-08 |
| 1477154169 | Prime Plus Hospice Inc | Hospice Care, Community Based | 7311 Van Nuys Blvd Unit 23, Van Nuys, CA 91405-1999 | 2020-11-08 |
| 1275134967 | Valley Hospice Care Inc | Hospice Care, Community Based | 7311 Van Nuys Blvd Unit 24, Van Nuys, CA 91405-1999 | 2020-11-08 |
| 1063013720 | Blessed Journey Hospice, LLC. | Hospice Care, Community Based | 9778 Katella Ave Ste 111, Anaheim, CA 92804-6446 | 2020-11-07 |
| 1093316739 | S and N Hospice | Hospice Care, Community Based | 2500 E Foothill Blvd Ste 512, Pasadena, CA 91107-7126 | 2020-11-07 |
| 1033710819 | Treasure Care Hospice,inc. | Hospice Care, Community Based | 4250 Pennyslvania Ave, Suite 203, La Crescenta, CA 91214 | 2020-11-06 |
| 1689275430 | Pro-choice Hospice, Inc. | Hospice Care, Community Based | 19634 Ventura Blvd Ste 302, Tarzana, CA 91356-2966 | 2020-11-06 |
| 1689275588 | Integrated Hospice Care Inc | Hospice Care, Community Based | 6354 Van Nuys Blvd Ste 102, Van Nuys, CA 91401-2601 | 2020-11-06 |
| Find all providers with the same taxonomy | ||||
| City | HARBOR CITY |
| Zip Code | 90710 |
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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.