Svrtc LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SVRTC LLC

Practice address

5270 E Los Angeles Ave
Simi Valley, CA 93063-4137

Phone

(805) 522-9155

Fax

(805) 250-1870

NPI assigned

Oct 11, 2022

Organization subpart

No

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

Authorized official

Name

Paola Dionisio

Title

Managing Member

Phone

(626) 523-8956

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Skilled nursing facility certification: CCN 555701

Legal name

SVRTC LLC

Doing business as

SIMI HEALTHCARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

May 21, 1997

Last certification

Jul 26, 2024

Beds

99

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

Sep 6, 2022 in DE

Enrollment address

5270 E Los Angeles Ave
Simi Valley, CA 93063-4137

Nursing home name

SIMI HEALTHCARE CENTER

Listed as

Simi Healthcare CenterCCN 555701

Overall star rating

3 of 5

Health inspections

2 of 5

Staffing

2 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

May 21, 1997

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9992.3 residents per day on average

Penalties (3 years)

1Fines totaling $8,446

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

Locations

All disclosed owners & managing parties 10

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.

• Abdol Memar-Zia, MD

  • Internal Medicine Physician
  • Simi Valley, CA
  • NPI 1639122112

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 6

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

• Royal Dean, M.D.

  • General Practice Physician
  • Simi Valley, CA
  • NPI 1417976945

  Nursing home

  Care Compare affiliation
• Vijay Kumar, MD,FCCP

  • Specialist
  • Simi Valley, CA
  • NPI 1689638587

  Nursing home

  Care Compare affiliation
• Mojgan Makhsoosi, M.D. INC.

  • Internal Medicine Physician
  • Simi Valley, CA
  • NPI 1346218658

  Nursing home

  Care Compare affiliation
• Abdol Memar-Zia, MD

  • Internal Medicine Physician
  • Simi Valley, CA
  • NPI 1639122112

  Nursing home

  Care Compare affiliation
• Ashraf N. Nashed, MD

  • Cardiovascular Disease Physician
  • Thousand Oaks, CA
  • NPI 1144290081

  Nursing home

  Care Compare affiliation
• Jasbir Singh Tiwana, M.D

  • Internal Medicine Physician
  • Simi Valley, CA
  • NPI 1689826661

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1154046290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4016 GRAND AVE STE A-1051",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105491",
            "telephone_number": "626-523-8956",
            "fax_number": "626-657-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5270 E LOS ANGELES AVE",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930634137",
            "telephone_number": "805-522-9155",
            "fax_number": "805-250-1870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SVRTC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "DIONISIO",
        "authorized_official_first_name": "PAOLA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "626-523-8956"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55701F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jezreel Martin Supetran
• Ashley Surak, PT, DPT
• Alexis Sutton, PSYD
• Les A. Sutton, D.D.S.
• Haihong Dela Sierra Sy Jr., LPT
• Parvin D. Syal, MD
• Sycamore Transport
• Michael J Sycamore, DDS
• Synergy Home Health Agency, Inc

• Skilled Nursing Facility in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.