NPIMap

Organization Active NPI

Humangood Socal

  • Skilled Nursing Facility
  • Duarte, CA
National Provider Identifier
1083689848
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
950000121 Issued in CA
Legal business name
HUMANGOOD SOCAL
Practice address
1763 Royal Oaks Dr
Duarte, CA 91010-1970
Phone
(626) 359-9371
Fax
(626) 358-6588
NPI assigned
Feb 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gwen Ellen Vangelisto
Title
Director of Accounts Receivable
Phone
(949) 463-0893

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 950000121 CA Primary

Addresses

Primary practice location

1763 Royal Oaks Dr
Duarte, CA 91010-1970

Mailing address

1900 Huntington Dr
Duarte, CA 91010-2694
Phone (818) 247-0420

Other identifiers 1

IdentifierTypeStateIssuer
LTC55503FMedicaidCA

Other names 1

  • Royal Oaks Manor - Bradbury Oaks Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071011000728 CA Part A Provider - Skilled Nursing Facility 8022104611 Practice locations: Duarte, CA

Skilled nursing facility certification: CCN 555503

Legal name
HUMANGOOD SOCAL
Doing business as
ROYAL OAKS MANOR - BRADBURY OAKS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 15, 1992
Last certification
Nov 15, 2024
Beds
48
Ownership / control type
Nonprofit Corporation
Multi-facility organization
HumanGood SoCal
Organization structure
CorporationNon-profit
Incorporated
Mar 23, 1955 in CA
Enrollment address
1763 Royal Oaks Dr
Duarte, CA 91010-1970
Nursing home name
ROYAL OAKS MANOR-BRADBURY OAKS
Affiliated entity
HUMANGOOD

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Royal Oaks Manor-Bradbury OaksCCN 555503
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Apr 15, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4843.1 residents per day on average
Chain
Humangood17 facilities in the chain
Penalties (3 years)
1Fines totaling $0

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0555444Royal Oaks Manor Bradbury Oaks1763 Royal Oaks Drive North, Bradbury, CA 91010Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Humangood Socal7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 27

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Joanne Christopherson Individual Corporate DirectorBoard Member Mar 20, 2025
Operational/Managerial Control Mar 20, 2025
William J Battison Individual Corporate DirectorBoard Member Feb 3, 2011
Operational/Managerial Control May 1, 2016
Hansen Hunter LLC Organization, Portland, OR LLC Adp of the SNF Mar 27, 2017
Alan Griffith Individual Corporate DirectorBoard Member Jun 30, 2019
Operational/Managerial Control Jun 30, 2019
Baker Tilly US LLP Organization, Madison, WI Adp of the SNF Oct 15, 2024
Albert W Kelley Individual Corporate DirectorBoard Member Apr 21, 2008
Operational/Managerial Control May 1, 2016
Jeremiah Herand Hovsepian Bearce Individual Operational/Managerial Control Nov 24, 2024
Adp of the SNF Nov 24, 2024
Washington Federal Organization, Seattle, WA Financial institution Adp of the SNF Nov 6, 2020
John H. Cochrane Individual Corporate OfficerPresident & Ceo Aug 10, 2009
Operational/Managerial Control Aug 10, 2009
Sharon Roth Individual Corporate DirectorBoard Member Dec 8, 2018
Jose Antonio T Agoniollo Individual Operational/Managerial Control Mar 21, 2022
Adp of the SNF Mar 21, 2022
Humangood Norcal Organization, Duarte, CA Corporation Operational/Managerial Control Apr 15, 1992
Adp of the SNF Apr 15, 1992
Michelle M Holmes Individual Corporate DirectorBoard Member May 1, 2016
Operational/Managerial Control May 1, 2016
Judith D Baker Individual Corporate DirectorBoard Member Apr 25, 2012
Operational/Managerial Control May 1, 2016
Andrew Smith Individual Operational/Managerial Control Sep 15, 2024
Herman Declan Brown Individual Corporate DirectorBoard Member & Secretary May 1, 2016
Operational/Managerial Control Feb 10, 2013
Jocelyn N Arevalo Individual Operational/Managerial Control Sep 3, 2024
Adp of the SNF Sep 3, 2024
Bethany J Ghassemi Individual Corporate OfficerAssistant Secretary May 21, 2019
Operational/Managerial Control May 21, 2019
Gwen Vangelisto Individual Operational/Managerial Control Aug 30, 2021
Adp of the SNF Aug 30, 2021
Baker Tilly Advisory Group LP Organization, Madison, WI Adp of the SNF Mar 21, 2025
Humangood Socal Organization, Duarte, CA Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 2, 1988 100%
Operational/Managerial Control Jan 1, 1967
Adp of the SNF Jan 1, 1967
Daniel Ogus Individual Corporate OfficerChief Operating Officer Aug 27, 2009
Operational/Managerial Control Oct 17, 1995
Andrew McDonald Individual Corporate OfficerCfo Jan 1, 2020
Operational/Managerial Control Jan 1, 2020
U.S. Bank Organization, San Francisco, CA Financial institution 5% Or Greater Security Interest Apr 8, 2025 31%
Adp of the SNF Apr 8, 2025
Humangood Organization, Duarte, CA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest May 1, 2016 100%
Adp of the SNF Apr 10, 2025
Irene Feller Individual Corporate DirectorBoard Member Jan 26, 2021
Operational/Managerial Control Jan 26, 2021
Norman T Chien Individual Operational/Managerial Control Nov 1, 2008
Adp of the SNF Nov 1, 2008

Owners & managing parties with NPI records 11

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Norman T Chien, MD
    • Geriatric Medicine (Internal Medicine) Physician
    • Pasadena, CA
    • NPI 1184696999

    Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Humangood Norcal
    • Skilled Nursing Facility
    • Los Altos, CA
    • NPI 1083795595

    Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Humangood Norcal
    • Skilled Nursing Facility
    • Santa Barbara, CA
    • NPI 1255412763

    Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Humangood Norcal
    • Skilled Nursing Facility
    • Oakland, CA
    • NPI 1437230943

    Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Humangood Norcal
    • Skilled Nursing Facility
    • Los Gatos, CA
    • NPI 1659356111

    Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Humangood Norcal
    • Skilled Nursing Facility
    • Bakersfield, CA
    • NPI 1700967213

    Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Humangood Norcal
    • Skilled Nursing Facility
    • Redlands, CA
    • NPI 1982789343

    Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Humangood Socal
    • Comprehensive Outpatient Rehabilitation Facility (CORF)
    • Escondido, CA
    • NPI 1366078115

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Humangood Socal
    • Skilled Nursing Facility
    • Escondido, CA
    • NPI 1477055630

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Humangood Socal
    • Skilled Nursing Facility
    • Irvine, CA
    • NPI 1568437325

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Humangood Socal
    • Internal Medicine Physician
    • Duarte, CA
    • NPI 1811743131

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Valle Verde Health FacilitySanta Barbara, CA, CCN 055733 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Mar 12, 1993
Mar 12, 1993
Regents Point - WindcrestIrvine, CA, CCN 555295 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Feb 2, 1988
Feb 2, 1988
Feb 2, 1988
Plymouth VillageRedlands, CA, CCN 055914 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 1967
Jan 1, 1967
Piedmont Gardens Health FacilityOakland, CA, CCN 056096 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 1967
Jan 1, 1967
The Terraces at Los Altos Health FacilityLos Altos, CA, CCN 055210 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 1967
Jan 1, 1967
Rosewood Health FacilityBakersfield, CA, CCN 555116 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 1977
Jan 1, 1977
The Terraces of Los GatosLos Gatos, CA, CCN 555547 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2025
Jan 1, 1969
Redwood Terrace Health CenterEscondido, CA, CCN 555146 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Oct 1, 2018
Apr 15, 1992
Apr 15, 1992

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 16

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 16

Practitioners & affiliated clinicians

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1083689848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 HUNTINGTON DR",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910102694",
            "telephone_number": "818-247-0420",
            "fax_number": "949-528-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1763 ROYAL OAKS DR",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910101970",
            "telephone_number": "626-359-9371",
            "fax_number": "626-358-6588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMANGOOD SOCAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-22",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "VANGELISTO",
        "authorized_official_first_name": "GWEN",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "DIRECTOR OF ACCOUNTS RECEIVABLE",
        "authorized_official_telephone_number": "949-463-0893"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "950000121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55503F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Royal Oaks Manor - Bradbury Oaks",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Royal Oaks Manor - Bradbury Oaks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duarte, CA

Sources for this page

Verify at the official NPI Registry.