Organization Active NPI

Tarzana Post Acute LLC

Doing business as Tarzana Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Tarzana, CA
National Provider Identifier
1093385320
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
TARZANA POST ACUTE LLC
Doing business as
Tarzana Health and Rehabilitation Center
Practice address
5650 Reseda Blvd
Tarzana, CA 91356-2230
Phone
(818) 881-4261
NPI assigned
Jun 29, 2021
Last updated
Jun 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Authorized official

Name
David Johnson
Title
Ceo
Phone
(310) 266-1080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

5650 Reseda Blvd
Tarzana, CA 91356-2230

Mailing address

3050 Saturn St Ste 201
Brea, CA 92821-6278
Phone (714) 577-3880

Other names 1

  • Tarzana Health and Rehabilitation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211104001515 CA Part A Provider - Skilled Nursing Facility 4284022666 Practice locations: Tarzana, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093385320. Details of each certification follow.

Skilled nursing facility certification: CCN 056124

Legal name
TARZANA POST ACUTE LLC
Doing business as
TARZANA HEALTH AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1976
Last certification
Jun 5, 2025
Beds
180
Ownership / control type
Individual
Organization structure
LLCProprietary
Incorporated
Feb 11, 2021 in CA
Enrollment address
5650 Reseda Blvd
Tarzana, CA 91356-2230
Nursing home name
TARZANA HEALTH AND REHABILITATION CENTER
Affiliated entity
DAVID JOHNSON

Care Compare: Nursing home

Medicare Care Compare
Listed as
Tarzana Health and Rehabilitation CenterCCN 056124 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Jul 1, 1976
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
180169.8 residents per day on average
Chain
David Johnson48 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
5Fines totaling $109,634

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Ting Zhang Individual Operational/Managerial Control Dec 1, 2022
David a Johnson Individual Operational/Managerial Control Feb 11, 2021
Managing Control - Governing BodyManager Feb 11, 2021
Adp of the SNF Feb 11, 2021
Indirect Ownership Interest Feb 11, 2021 50%
Micheal D Oxford Individual Operational/Managerial Control Jan 3, 2022
Adp of the SNF Jan 3, 2022
Frank a Johnson Individual Operational/Managerial Control Feb 11, 2021
Managing Control - Governing BodyManager Feb 11, 2021
Indirect Ownership Interest Feb 11, 2021 50%
Tarzana Post Acute LLC Organization, Brea, CA Created for acquisition, LLC, Owned by another organization or individual Direct Ownership Interest Feb 3, 2022 100%
Joshua Kochek Individual Operational/Managerial Control Apr 1, 2022
Adp of the SNF Apr 1, 2022
Sun Meridian Management Services LLC Organization, Brea, CA LLC Adp of the SNF Mar 22, 2021
Adrian Dehghanmanesh Individual Operational/Managerial Control Jun 1, 2021
Adp of the SNF Jun 1, 2021
Mary Farrales Individual Adp of the SNF Jan 1, 2023
SWV Tarzana LLC Organization, New York, NY LLC, Private equity company Adp of the SNF Jan 1, 2005
Keyvan Shirazi Individual Adp of the SNF Sep 11, 2025
Cibc Bank USA Organization, Chicago, IL Corporation, Financial institution Adp of the SNF Sep 1, 2021
Jordan Mader Individual Operational/Managerial Control Jun 9, 2025
Adp of the SNF Jun 9, 2025

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 7

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": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1093385320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 SATURN ST STE 201",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216278",
            "telephone_number": "714-577-3880",
            "fax_number": "714-577-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5650 RESEDA BLVD",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562230",
            "telephone_number": "818-881-4261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARZANA POST ACUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-266-1080"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tarzana Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.