EGB HOLDINGS (NPI# 1871942029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871942029 |
| Entity Type | Organization |
| Organization Name | EGB HOLDINGS |
| Other Organization Name | ADVANTAGE HEALTH SYSTEMS |
| Practice Address |
151 Kalmus Dr Suite D-104 Costa Mesa CA 92626-5988 |
| Mailing Address |
Po Box 261485 San Diego CA 92196-1485 |
| Practice Telephone | 7146689302 |
| Practice Fax Number | 7146689304 |
| Mailing Telephone | 7146689302 |
| Mailing Fax Number | 7146689304 |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2018-10-31 |
| Authorized Official Name | EMIL BUNDANG (CEO) |
| Authorized Official Telephone | 7146689302 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Other Name | Type Code |
|---|---|
| Advantage Health Systems | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558658864 | Egb Holdings | Home Health | 4100 Latham Street, Suite D, Riverside, CA 92501-1733 | 2011-07-07 |
| 1023305331 | Egb Holdings | Home Health | 151 Kalmus Dr Ste D101, Costa Mesa, CA 92626-5959 | 2011-07-07 |
| 1801345731 | Egb Holdings | Hospice Care, Community Based | 4100 Latham Street, Suite E, Riverside, CA 92501-1733 | 2016-10-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | EGB HOLDINGS, LLC | 3 Nathan Pratt Dr., Concord, MA 01742 |
| New York State Corporations | EGB HOLDINGS, LLC | 595 Stewart Avenue, Suite 710, Garden City, Ny 11530 |
| Street Address |
151 KALMUS DR SUITE D-104 |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92626-5988 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538241773 | Lewis Vernon Webb | Psychologist | 151 Kalmus Dr, K-3, Costa Mesa, CA 92626-5988 | 2006-10-19 |
| 1316455439 | Vaughan Chiropractic and Wellness PC | Chiropractor | 151 Kalmus Dr, Costa Mesa, CA 92626-5988 | 2018-01-11 |
| 1629439286 | Healthcare Services, Inc. | Substance Abuse Rehabilitation Facility | 151 Kalmus Dr, Suite K-1, Costa Mesa, CA 92626-5988 | 2016-03-10 |
| 1609208867 | Maxine King Wofford | Case Manager/Care Coordinator | 151 Kalmus Dr, Suite K-3, Costa Mesa, CA 92626-5988 | 2013-07-30 |
| 1093157190 | Melissa Marie Siegl | Licensed Vocational Nurse | 151 Kalmus Dr, K3, Costa Mesa, CA 92626-5988 | 2013-07-18 |
| 1295173839 | Diane Dixon | Social Worker | 151 Kalmus Dr, Suite# K-3, Costa Mesa, CA 92626-5988 | 2013-06-05 |
| 1902240336 | Michele D Martinez | Licensed Vocational Nurse | 151 Kalmus Dr, Suite K-3, Costa Mesa, CA 92626-5988 | 2013-04-29 |
| 1659715209 | Brandi Nicole Dawson | Licensed Vocational Nurse | 151 Kalmus Dr, Costa Mesa, CA 92626-5988 | 2013-04-25 |
| 1952646580 | Jody M. Stratton & Associates, Inc. | Speech-Language Pathologist | 151 Kalmus Dr, Suite A101, Costa Mesa, CA 92626-5988 | 2012-12-08 |
| 1023386703 | Karen Burrola | Registered Nurse | 151 Kalmus Dr, Costa Mesa, CA 92626-5988 | 2011-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536982 | Sergio Gutierrez | Behavior Technician | 3303 Harbor Blvd., Suite B8, Costa Mesa, CA 92626 | 2020-10-22 |
| 1780201848 | Kelly Chauvet | Behavior Technician | 1503 Nutmeg Place Suite 110, Costa Mesa, CA 92626 | 2020-07-06 |
| 1316564610 | Timo Rosa | Behavior Technician | 1503 Nutmeg Place, Suite 110, Costa Mesa, CA 92626 | 2020-07-02 |
| 1255966115 | Dalia A Sehweil | Behavior Technician | 1111 Baker, Costa Mesa, CA 92626 | 2020-03-11 |
| 1265071096 | Austin Stotelmyre | Behavior Technician | 1111 Baker St Costa Mesa 92626, Costa Mesa, CA 92626 | 2019-12-26 |
| 1396383022 | The Open Table | Community/Behavioral Health | 151 Kalmus Dr. Bldg C, Suite 100, Costa Mesa, CA 92626 | 2019-12-12 |
| 1851933550 | Jennifer Rivera | Behavior Technician | 1111 Baker St. Unit #a, Costa Mesa, CA 92626 | 2019-10-14 |
| 1962053595 | Peter Na | Behavior Technician | Behavior Functions 3303 Harbor Blvd, Ste B8, Costa Mesa, CA 92626 | 2019-09-25 |
| 1346897147 | Jennifer Lopez | Behavior Technician | 555 Alton Blvd Suite 150, Costa Mesa, CA 92626 | 2019-08-26 |
| 1679134084 | Danny Garcia Chiropractic, PC | Chiropractor | 1503 South Coast Drive, Suite 319, Costa Mesa, CA 92626 | 2019-06-26 |
| Find all providers in zip 92626 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093332694 | Seacliff Hospice Inc. | Hospice Care, Community Based | 1055 El Camino Dr Ste F109, Costa Mesa, CA 92626-5579 | 2020-06-30 |
| 1083247068 | Eternal Peace Hospice Inc. | Hospice Care, Community Based | 1055 El Camino Dr Ste F112, Costa Mesa, CA 92626-5574 | 2020-02-18 |
| 1578840260 | St. Joseph Health System Home Care Services | Hospice Care, Community Based | 3187 Red Hill Ave Ste 230a, Costa Mesa, CA 92626-3446 | 2011-11-08 |
| 1497758593 | Hospice Touch, Inc. | Hospice Care, Community Based | 3070 Bristol St Ste 100, Costa Mesa, CA 92626 | 2005-05-23 |
| 1528415494 | Essence Home Care LLC | Hospice Care, Community Based | 711 W 17th St, C2, Costa Mesa, CA 92627-4350 | 2016-05-19 |
| 1982063764 | St. Joseph Health System Home Care Services | Hospice Care, Community Based | 2755 Bristol St, Ste. 285, Costa Mesa, CA 92626-5985 | 2016-02-22 |
| 1952644262 | Essence Healthcare LLC | Hospice Care, Community Based | 711 W 17th St, C2, Costa Mesa, CA 92627-4350 | 2013-04-04 |
| 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 | COSTA MESA |
| Zip Code | 92626 |
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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.