Active NPI
22125 Roscoe Corp.
- Skilled Nursing Facility
- Canoga Park, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 920000075
- Legal business name
- 22125 ROSCOE CORP.
- Practice address
- 22125 Roscoe Blvd
Canoga Park, CA 91304-3839 - Phone
- (818) 883-7292
- Fax
- (818) 883-9903
- NPI assigned
- Jun 23, 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
- Cary Buchman
- Title
- President
- Phone
- (818) 905-8000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 920000075 | CA | Primary |
Addresses
Primary practice location
22125 Roscoe Blvd
Canoga Park, CA 91304-3839
Mailing address
22125 Roscoe Blvd
Canoga Park, CA 91304-3839
Phone (818) 883-7292
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZT06092G | Medicaid | CA | |
| LTC70095F | Medicaid | CA |
Other names 1
- Topanga Terrace Convalescent 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 |
|---|---|---|---|---|
| O20080603000797 | CA | Part A Provider - Skilled Nursing Facility | 2769552603 | Practice locations: Canoga Park, CA |
Skilled nursing facility certification: CCN 056092
- Legal name
- 22125 ROSCOE CORP.
- Doing business as
- TOPANGA TERRACE CONVALESCENT CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1973
- Last certification
- Oct 24, 2024
- Beds
- 112
- Ownership / control type
- Corporation
- Organization structure
- Corporation
- Incorporated
- Nov 29, 1972 in CA
- Enrollment address
- 22125 Roscoe Blvd
Canoga Park, CA 91304-3839 - Nursing home name
- TOPANGA TERRACE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Topanga Terrace
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jan 1, 1973
- Medicare certification status
- Active
- Certified beds
- 112
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 |
|---|---|---|---|
| 05D0557443 | Topanga Terrace Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
22125 Roscoe Blvd
West Hills, CA 91304
Phone (714) 519-4674
Ownership & related parties
All disclosed owners & managing parties 49
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 |
|---|---|---|---|
| Jonathan Nasseri | Operational/Managerial Control | Jan 1, 2022 | |
| Adp of the SNF | Jan 1, 2022 | ||
| Adp of the SNF | Jan 1, 2006 | ||
| Maria Trujillo | Operational/Managerial Control | May 6, 2013 | |
| Adp of the SNF | May 6, 2013 | ||
| Dan Gan-El | Corporate Officer | Jan 1, 2018 | |
| Operational/Managerial Control | Jul 15, 2007 | ||
| Adp of the SNF | Jul 16, 2007 | ||
| Adp of the SNF | Jun 3, 2025 | ||
| Adp of the SNF | Apr 28, 1998 | ||
| Karen Parver | Adp of the SNF | Apr 28, 1998 | |
| Quality Health Services Corporation | Operational/Managerial Control | Jan 1, 1996 | |
| Adp of the SNF | Jun 3, 2025 | ||
| Jacklin Lewis | Operational/Managerial Control | Oct 1, 2017 | |
| Adp of the SNF | Oct 1, 2017 | ||
| Letitia Wong | Operational/Managerial Control | Jun 3, 2013 | |
| Adp of the SNF | Jun 3, 2013 | ||
| Avi Buchman | Corporate Officer | Jun 1, 2019 | |
| Corporate Director | Jun 1, 2019 | ||
| Operational/Managerial Control | Jan 1, 2017 | ||
| Adp of the SNF | Jan 1, 2017 | ||
| Leeron Hever | Operational/Managerial Control | Sep 8, 2015 | 60% |
| Adp of the SNF | Sep 8, 2015 | ||
| The Topanga Group | 5% Or Greater Direct Ownership Interest | Jul 23, 2014 | 100% |
| Operational/Managerial Control | Jul 23, 2014 | ||
| Adp of the SNF | Jun 3, 2025 | ||
| Adp of the SNF | Apr 28, 1998 | ||
| Susan Schwartz | Adp of the SNF | Apr 28, 1998 | |
| Surena Boyce | Operational/Managerial Control | Aug 27, 2012 | |
| Adp of the SNF | Aug 27, 2012 | ||
| Jose Rodriguez Perez | Operational/Managerial Control | Apr 10, 2023 | |
| Adp of the SNF | Apr 10, 2023 | ||
| Adp of the SNF | Jun 3, 2025 | ||
| Helen Kain Family Trust Fbo Diane Cutler | Indirect Ownership Interest | Jul 23, 2014 | 1% |
| Adp of the SNF | Jun 3, 2025 | ||
| Shirley Mae Mualem | Operational/Managerial Control | Oct 23, 2000 | |
| Adp of the SNF | Oct 23, 2000 | ||
| Cary Buchman | 5% Or Greater Indirect Ownership Interest | Jul 23, 2014 | 48% |
| Corporate Officer | Aug 1, 1988 | ||
| Corporate Director | Aug 1, 1988 | ||
| Operational/Managerial Control | Jan 11, 1996 | ||
| Managing Control - Governing Body | Aug 1, 1988 | ||
| Adp of the SNF | Jan 11, 1996 | ||
| Adp of the SNF | Jun 15, 2010 | ||
| Steven Linghu | Operational/Managerial Control | Jul 6, 2021 | |
| Adp of the SNF | Jul 6, 2021 | ||
| Adp of the SNF | Apr 28, 1998 | ||
| Adp of the SNF | Jan 1, 2024 | ||
| Servando Alvarado | Operational/Managerial Control | Oct 17, 1994 | |
| Adp of the SNF | Oct 17, 1994 | ||
| Marcy Fikany | Indirect Ownership Interest | Jul 23, 2014 | 4% |
| Diana Lopez | Operational/Managerial Control | Jun 12, 2023 | |
| Adp of the SNF | Jun 12, 2023 | ||
| Adp of the SNF | Jan 1, 2020 | ||
| Adp of the SNF | Jan 1, 2024 | ||
| Michael Schwartz | Adp of the SNF | Apr 28, 1998 | |
| Varen Lave | Operational/Managerial Control | Aug 4, 2022 | |
| Adp of the SNF | Aug 4, 2022 | ||
| Mildred de Castro | Operational/Managerial Control | Apr 29, 2024 | |
| Adp of the SNF | Apr 29, 2024 | ||
| Linda G Buchman | 5% Or Greater Indirect Ownership Interest | Jul 23, 2014 | 48% |
| Adp of the SNF | Apr 28, 1998 | ||
| Adp of the SNF | Jan 1, 2006 | ||
| Rehab Alliance | Operational/Managerial Control | Oct 1, 2017 | |
| Adp of the SNF | Aug 6, 2025 | ||
| Helen Kain Family Trust Fbo Kathy L. Collen | Indirect Ownership Interest | Jul 23, 2014 | 1% |
| Buchman Living Trust | 5% Or Greater Indirect Ownership Interest | Jul 23, 2014 | 96% |
| Adp of the SNF | Jan 1, 2007 | ||
| Adp of the SNF | Jan 1, 2006 | ||
| Adp of the SNF | Jan 1, 2024 | ||
| Jeffrey Goldenberg | Adp of the SNF | Jan 1, 2024 | |
| Carl Nelson | Operational/Managerial Control | Mar 1, 2020 | |
| Adp of the SNF | Mar 1, 2020 | ||
| Gary Delgado | Operational/Managerial Control | Nov 29, 1999 | |
| Adp of the SNF | Nov 29, 1999 | ||
| Ben Lyons | Corporate Director | Jun 1, 2019 | |
| Operational/Managerial Control | Apr 23, 2020 | ||
| Adp of the SNF | Apr 23, 2020 | ||
| Judith Robles | Operational/Managerial Control | Dec 14, 2015 | 40% |
| Adp of the SNF | Dec 14, 2015 | ||
| Helen Kain Family Trust Fbo Michelle Kain | Indirect Ownership Interest | Jul 23, 2014 | 2% |
| Mark Goldenberg | Adp of the SNF | Jan 1, 2024 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Thousand Oaks, CA
- NPI 1184669160
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Torrance, CA
- NPI 1588660369
Quality Health Services Corporation, Rehab Alliance
Practitioners & affiliated clinicians
Affiliated clinicians 9
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Northridge, CA
- NPI 1982752465
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653523200000",
"number": "1184620171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22125 ROSCOE BLVD",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "913043839",
"telephone_number": "818-883-7292",
"fax_number": "818-883-9903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22125 ROSCOE BLVD",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "913043839",
"telephone_number": "818-883-7292",
"fax_number": "818-883-9903"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "22125 ROSCOE CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-23",
"last_updated": "2022-05-26",
"certification_date": "2022-05-26",
"status": "A",
"authorized_official_last_name": "BUCHMAN",
"authorized_official_first_name": "CARY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-905-8000"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": "920000075",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZT06092G",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LTC70095F",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Topanga Terrace Convalescent Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Topanga Terrace Convalescent Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Canoga Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.