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
1952536328
Provider Type
Organization
Full Name
San Diego Hospice

Subpart
No
Enumeration Date
5/28/2009
Last Updated
5/28/2009

Contact Information

Practice Location

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

(619) 688-1500

(619) 688-0734

Mailing Location

4311 Third Ave, San Diego, CA 92103-1407

(619) 688-1500

(619) 688-0734

Authorized Official

Cetti, Jan (Ceo, President)

(619) 688-1500

Provider Taxonomies

Code	Description	License
Code 282N00000X Primary	Description General Acute Care Hospital Hospitals	License 080000392 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

Ucsd Emergency Medicine

Ucsd

University Of California, San Diego

Ucsd Department Of Orthopaedic Surgery

Scripps Health

Regents Of The University Of California

University Of California, San Diego Medical Center

Univeristy Of California San Diego Medical Center

San Diego Hospice And Palliative Care

University Of California, San Diego Medical Center