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MOUNTAINSIDE HOSPICE AND PALLIATIVE CARE INC
NPI 1336769512
Hospice Care, Community Based in Northridge, CA

Active since April 17, 2020CLIA 05D2183535 · Waiver
8700 RESEDA BLVD STE 103, NORTHRIDGE, CA 91324(818) 818-5009 Get Directions Write a Review

NPPES record last updated: April 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mountainside Hospice And Palliative Care Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUNTAINSIDE HOSPICE AND PALLIATIVE CARE INC (NPI 1336769512) is a healthcare organization registered as a hospice care, community based in Northridge, California and active in the NPI registry since April 2020. The organization holds a CLIA Waiver certificate valid through May 5, 2028 and lists Edward Otuzbiryan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1336769512
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameMOUNTAINSIDE HOSPICE AND PALLIATIVE CARE INC
Location Address8700 RESEDA BLVD STE 103Northridge, CA 91324-5384
Mailing Address8700 Reseda Blvd Ste 103Northridge, CA 91324-5384
Phone(818) 818-5009
Organization SubpartNo
Authorized OfficialEdward OtuzbiryanCeo · (818) 818-5009
Enumeration DateApril 17, 2020
NPPES CertifiedApril 17, 2020
✔ NPI 1336769512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
8700 RESEDA BLVD STE 103, Northridge, CA 91324
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2183535

Mountainside Hospice And Palliative Care Inc · Chatsworth, CA
Active · expires May 5, 2028
CLIA Number05D2183535
Laboratory TypeHospice
Certificate Effective DateMay 6, 2026
Certificate Expiration DateMay 5, 2028
Laboratory DirectorEufrocino C. Martinez
Laboratory Phone(818) 818-5009
Laboratory LocationMountainside Hospice And Palliative Care Inc20955 Devonshire St Ste A, Chatsworth, CA 91311
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Hospice Care Quality CMS Care Compare

Quality measures, care settings and the Hospice Care Index for Mountainside Hospice And Palliative Care, Inc. (CMS certification number B21626), from CMS Care Compare.

Mountainside Hospice And Palliative Care, Inc.

Hospice · Northridge, CA
OwnershipFor-Profit
CMS Certification NumberB21626
CMS RegionRegion 9
Medicare-Certified SinceMay 14, 2021
Location8700 Reseda Blvd Ste 103Northridge, CA 91324 · Los Angeles County
Phone(818) 818-5009

Quality Measures

Hospice and Palliative Care Treatment Preferences
21 patient stays
100%
Beliefs & Values Addressed (if desired by the patient)
21 patient stays
100%
Hospice and Palliative Care Pain Screening
21 patient stays
100%
Hospice and Palliative Care Pain Assessment
21 patient stays
100%
Hospice and Palliative Care Dyspnea Screening
21 patient stays
100%
Hospice and Palliative Care Dyspnea Treatment
21 patient stays
100%
Hospice and Palliative Care Composite Process Measure
21 patient stays
100%
Measures are reported under the CMS Hospice Quality Reporting Program. Reporting periods vary by measure (2022 to 2023). Measures without current CMS data are not shown.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mountainside Hospice And Palliative Care Inc's NPI number?

The NPI number for Mountainside Hospice And Palliative Care Inc is 1336769512. It was assigned to this organization in the NPPES registry on April 17, 2020.

Where is Mountainside Hospice And Palliative Care Inc located?

Mountainside Hospice And Palliative Care Inc is located at 8700 Reseda Blvd Ste 103, Northridge, CA 91324. The listed phone number is (818) 818-5009.

What is Mountainside Hospice And Palliative Care Inc's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Does Mountainside Hospice And Palliative Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2183535) is associated with this NPI, valid through May 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Mountainside Hospice And Palliative Care Inc a Medicare-certified hospice?

Yes. Mountainside Hospice And Palliative Care, Inc. is a Medicare-certified hospice (CMS certification number B21626), certified since May 14, 2021.

When was this NPI record last updated?

The NPPES record for Mountainside Hospice And Palliative Care Inc was last updated on April 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.