Good Shepherd Health Care Center of Santa Monica

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

910000056 Issued in CA

Legal business name

GOOD SHEPHERD HEALTH CARE CENTER OF SANTA MONICA

Practice address

1131 Arizona Ave
Santa Monica, CA 90401-2009

Phone

(310) 451-4800

Fax

(310) 458-3156

NPI assigned

Nov 16, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Joan Lee

Title

President

Phone

(323) 934-5660

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Skilled nursing facility certification: CCN 555061

Legal name

GOOD SHEPHERD HEALTH CARE CENTER OF SANTA MONICA

Doing business as

JPH CONSULTING INC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 22, 1977

Last certification

Dec 29, 2024

Beds

48

Ownership / control type

Corporation

Organization structure

CorporationProprietary

Incorporated

Feb 10, 1992 in CA

Enrollment address

1131 Arizona Ave
Santa Monica, CA 90401-2009

Nursing home name

GOOD SHEPHERD HEALTH CARE CENTER OF SANTA MONICA

Affiliated entity

IL & JOAN LEE

Listed as

Good Shepherd Health Care Center of Santa MonicaCCN 555061

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

1 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Mar 22, 1977

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

4843.4 residents per day on average

Chain

Il & Joan Lee4 facilities in the chain

Penalties (3 years)

1Fines totaling $8,424

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

All disclosed owners & managing parties 6

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

Owners & managing parties with NPI records 1

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

• Syed M Hossain, M.D. .

  • Family Medicine Physician
  • Compton, CA
  • NPI 1083787907

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 1

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

• Mid-Wilshire Health Care Center

  • Skilled Nursing Facility
  • El Monte, CA
  • NPI 1194898205

  JPH Consulting Inc

  CMS ownership

Affiliated clinicians 1

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

• Paul Leitner, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Los Angeles, CA
  • NPI 1912093865

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1114090206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 CRENSHAW BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900193112",
            "telephone_number": "323-934-5660",
            "fax_number": "323-934-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 ARIZONA AVE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012009",
            "telephone_number": "310-451-4800",
            "fax_number": "310-458-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD HEALTH CARE CENTER OF SANTA MONICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-934-5660",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "910000056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05171H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Gonzalez, SPORTS REHAB
• Maria Luisa Gonzalez
• Maricela Gonzalez
• Randy Gonzalez
• Raul Gonzalez, LCSW
• Mary Goodarzi, M.A.
• Retha Goodglick
• Dean Goodman, D.C.
• Donald Mitchell Goodman, PH.D.
• Kristy Marie Goodman, MS, MPH, PA-C

• All providers in Santa Monica, CA
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.

Verify at the official NPI Registry.