OrganizationActiveAccepts Medicare
Mountainside Hospice and Palliative Care Inc
NPI 1336769512 · Community Based Hospice Care Agency · Northridge, CA
Enrolled with Medicare as Part a Provider - Hospice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1336769512
- Entity type
- Organization
- Primary specialty
- Community Based Hospice Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Edward Otuzbiryan, Ceo(818) 818-5009
Specialties & taxonomies
Agencies
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8700 Reseda Blvd Ste 103
Northridge, CA 91324-5384
Phone: (818) 818-5009
Street-level locationGet directions
Mailing address
8700 Reseda Blvd Ste 103
Northridge, CA 91324-5384
Registry dates
- Enumerated
- 2020-04-17
- Last updated
- 2020-04-17
- Certified
- 2020-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.