Active NPI
Allelo & Associates
- Skilled Nursing Facility
- Lomita, CA
National Provider Identifier
1104817071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- LTC55028F
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LTC55028F | Medicaid | CA |
Other names 1
- Palos Verdes Health Care Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Oct 1, 1976
- Medicare certification status
- Active
- Certified beds
- 48
- Penalties (3 years)
- 4
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0967878 | Palos Verdes Health Care Center | Certificate of waiver | Nov 23, 2027 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Chris Perez | Operational/Managerial Control | Jan 21, 2026 | |
| Adp of the SNF | Jan 21, 2026 | ||
| Amnon Licht | 5% Or Greater Direct Ownership Interest | Jul 21, 1999 | 100% |
| Corporate Officer | Jul 21, 1999 | 100% | |
| Allelo & Associates | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.