Organization Active NPI

Allelo & Associates

  • Skilled Nursing Facility
  • Lomita, CA
National Provider Identifier
1104817071
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
LTC55028F Issued in CA
Legal business name
ALLELO & ASSOCIATES
Doing business as
Palos Verdes Health Care Center
Practice address
26303 Western Ave
Lomita, CA 90717-3521
Phone
(310) 784-5440
Fax
(310) 784-5448
NPI assigned
Oct 31, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Authorized official

Name
Mr. Hilarion Dimayuga
Title
Manager
Phone
(310) 784-5440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X LTC55028F CA Primary

Addresses

Primary practice location

26303 Western Ave
Lomita, CA 90717-3521

Mailing address

9808 Venice Blvd
Suite 706
Culver City, CA 90232-2732
Phone (310) 994-8804

Other identifiers 1

IdentifierTypeStateIssuer
LTC55028FMedicaidCA

Other names 1

  • Palos Verdes Health Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120518000341 CA Part A Provider - Skilled Nursing Facility 7214190859 Practice locations: Lomita, CA

Skilled nursing facility certification: CCN 555028

Legal name
ALLELO & ASSOCIATES
Doing business as
PALOS VERDES HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 1, 1976
Last certification
May 18, 2025
Beds
48
Ownership / control type
Individual
Organization structure
CorporationProprietary
Incorporated
Jul 9, 1999 in CA
Enrollment address
26303 Western Ave
Lomita, CA 90717-3521
Nursing home name
PALOS VERDES HEALTH CARE CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Palos Verdes Health Care CenterCCN 555028 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Oct 1, 1976
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4843.4 residents per day on average
Penalties (3 years)
4Fines totaling $97,006

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
05D0967878Palos Verdes Health Care Center26303 S Western Ave, Lomita, CA 90717Certificate of waiverNov 23, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Chris Perez Individual Operational/Managerial Control Jan 21, 2026
Adp of the SNF Jan 21, 2026
Amnon Licht Individual 5% Or Greater Direct Ownership InterestPresident Jul 21, 1999 100%
Corporate OfficerPresident Jul 21, 1999 100%
Allelo & Associates Organization, Culver City, CA Corporation 5% Or Greater Direct Ownership Interest Jul 9, 1999 100%
Operational/Managerial Control Sep 21, 1999 100%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1104817071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9808 VENICE BLVD",
            "address_2": "SUITE 706",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322732",
            "telephone_number": "310-994-8804",
            "fax_number": "310-839-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26303 WESTERN AVE",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907173521",
            "telephone_number": "310-784-5440",
            "fax_number": "310-784-5448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLELO & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "DIMAYUGA",
        "authorized_official_first_name": "HILARION",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "310-784-5440",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "LTC55028F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55028F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palos Verdes Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lomita, CA

Sources for this page

Verify at the official NPI Registry.