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COASTAL HOSPICE OF SOCAL INC
NPI 1821636549
Hospice Care, Community Based in Garden Grove, CA

Active since December 12, 2019CLIA 05D2210756 · Waiver
12465 LEWIS ST STE 206, GARDEN GROVE, CA 92840(951) 310-3338 Get Directions Write a Review

NPPES record last updated: December 12, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Coastal Hospice Of Socal Inc NPPES

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

COASTAL HOSPICE OF SOCAL INC (NPI 1821636549) is a healthcare organization registered as a hospice care, community based in Garden Grove, California and active in the NPI registry since December 2019. The organization holds a CLIA Waiver certificate valid through January 21, 2027 and lists John Patrick Simbulan, Owner/administrator, as its authorized official.

NPPES Registry Identity

NPI1821636549
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameCOASTAL HOSPICE OF SOCAL INC
Location Address12465 LEWIS ST STE 206Garden Grove, CA 92840-4657
Mailing Address12465 Lewis St Ste 206Garden Grove, CA 92840-4657
Phone(951) 310-3338
Organization SubpartNo
Authorized OfficialJohn Patrick SimbulanOwner/administrator · (310) 310-3338
Enumeration DateDecember 12, 2019
✔ NPI 1821636549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
12465 LEWIS ST STE 206, Garden Grove, CA 92840
Open in Google Maps ↗

Other Identifiers 1

Medicaid1417332057CA

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 05D2210756

Coastal Hospice Of Socal Inc · Garden Grove, CA
Active · expires Jan 21, 2027
CLIA Number05D2210756
Laboratory TypeHospice
Certificate Effective DateJanuary 22, 2025
Certificate Expiration DateJanuary 21, 2027
Laboratory DirectorEzequiel Suarez
Laboratory Phone(714) 705-4375
Laboratory LocationCoastal Hospice Of Socal Inc12465 Lewis Streetm Suite 206, Garden Grove, CA 92840
CLIA data matches this NPI record on: Name
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 Coastal Hospice Of Socal, Inc (CMS certification number B41716), from CMS Care Compare.

Coastal Hospice Of Socal, Inc

Hospice · Garden Grove, CA
OwnershipFor-Profit
CMS Certification NumberB41716
CMS RegionRegion 9
Medicare-Certified SinceJuly 21, 2022
Location12465 Lewis St Suite 206Garden Grove, CA 92840 · Orange County
Phone(714) 705-4375

Quality Measures

Hospice and Palliative Care Treatment Preferences
29 patient stays
100%
Beliefs & Values Addressed (if desired by the patient)
29 patient stays
100%
Hospice and Palliative Care Pain Screening
29 patient stays
100%
Hospice and Palliative Care Dyspnea Screening
29 patient stays
100%
Hospice and Palliative Care Composite Process Measure
29 patient stays
93.1%
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.
10/10
Hospice Care IndexTen claims-based indicators of care processes · CMS Care Compare
CHC/GIP provided
National percentile 73
0.2%
Gaps in nursing visits
National percentile 49
53.8%
Early live discharges
National percentile 19
0%
Late live discharges
National percentile 10
20%
Burdensome transitions, Type 1
National percentile 19
0%
Burdensome transitions, Type 2
National percentile 43
0%
Per-beneficiary spending
National percentile 16
$10,671
Nurse care minutes per routine home care days
National percentile 76
15.1 minutes
Skilled nursing minutes on weekends
National percentile 93
17.8%
Visits near death
National percentile 61
94.7%
Percentiles compare this hospice with all hospices nationally, as published by CMS.

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 Coastal Hospice Of Socal Inc's NPI number?

The NPI number for Coastal Hospice Of Socal Inc is 1821636549. It was assigned to this organization in the NPPES registry on December 12, 2019.

Where is Coastal Hospice Of Socal Inc located?

Coastal Hospice Of Socal Inc is located at 12465 Lewis St Ste 206, Garden Grove, CA 92840. The listed phone number is (951) 310-3338.

What is Coastal Hospice Of Socal Inc's specialty?

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

Does Coastal Hospice Of Socal Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2210756) is associated with this NPI, valid through January 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Coastal Hospice Of Socal Inc a Medicare-certified hospice?

Yes. Coastal Hospice Of Socal, Inc is a Medicare-certified hospice (CMS certification number B41716), certified since July 21, 2022.

When was this NPI record last updated?

The NPPES record for Coastal Hospice Of Socal Inc was last updated on December 12, 2019. 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.