Look up the most recent NPI and PECOS records

San Diego Hospice

General Acute Care Hospital

Hospitals

PECOS Enrollment

Based on the most recent information from CMS, provider San Diego Hospice does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1790952760
Provider Type
Organization
Full Name
San Diego Hospice

Subpart
No
Enumeration Date
5/9/2008
Last Updated
5/9/2008

Contact Information

Practice Location

4311 3rd Ave, San Diego, CA 92103-1407

(619) 688-1600

Unlisted Fax

Mailing Location

4311 3rd Ave, San Diego, CA 92103-1407

(619) 688-1600

Unlisted Fax

Authorized Official

Jones, Kathleen (Cfo, Vp Finance)

(619) 278-6544

Provider Taxonomies

Code	Description	License
Code 282N00000X Primary	Description General Acute Care Hospital Hospitals	License 80000392 California

Provider Identifiers

ID	Description	Issuer
ID HSP30698F	Description Medicaid	Issuer Unlisted California

San Diego Hospice

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Regents Of The University Of California

Scripps Health

San Diego Hospice And Palliative Care

Gilda Tafreshi, Md

San Diego Hospice

Ucsd

University Of California, San Diego Medical Center

Uc San Diego Health System

Univeristy Of California San Diego Medical Center

Ucsd Medical Center