Organization Active NPI

22125 Roscoe Corp.

  • Skilled Nursing Facility
  • Canoga Park, CA
National Provider Identifier
1184620171
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
920000075 Issued in CA
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

Updated by the provider on May 26, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
ZZT06092GMedicaidCA
LTC70095FMedicaidCA

Other names 1

  • Topanga Terrace Convalescent Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 TerraceCCN 056092
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 1, 1973
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11299.1 residents per day on average

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
05D0557443Topanga Terrace Center22125 Roscoe Blvd, Canoga Park, CA 91304Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Jonathan Nasseri Individual Operational/Managerial Control Jan 1, 2022
Adp of the SNF Jan 1, 2022
Individual Adp of the SNF Jan 1, 2006
Maria Trujillo Individual Operational/Managerial Control May 6, 2013
Adp of the SNF May 6, 2013
Dan Gan-El Individual Corporate OfficerChief Financial Officer Jan 1, 2018
Operational/Managerial Control Jul 15, 2007
Adp of the SNF Jul 16, 2007
Organization, Calabasas, CA Corporation, For-profit Adp of the SNF Jun 3, 2025
Organization, Encino, CA LLC, For-profit Adp of the SNF Apr 28, 1998
Karen Parver Individual Adp of the SNF Apr 28, 1998
Quality Health Services Corporation Organization, Encino, CA Corporation, Consulting firm Operational/Managerial Control Jan 1, 1996
Adp of the SNF Jun 3, 2025
Jacklin Lewis Individual Operational/Managerial Control Oct 1, 2017
Adp of the SNF Oct 1, 2017
Letitia Wong Individual Operational/Managerial Control Jun 3, 2013
Adp of the SNF Jun 3, 2013
Avi Buchman Individual Corporate OfficerSecretary Jun 1, 2019
Corporate DirectorDirector Jun 1, 2019
Operational/Managerial Control Jan 1, 2017
Adp of the SNF Jan 1, 2017
Leeron Hever Individual Operational/Managerial ControlAdministrator Sep 8, 2015 60%
Adp of the SNF Sep 8, 2015
The Topanga Group Organization, Encino, CA Corporation, For-profit 5% Or Greater Direct Ownership Interest Jul 23, 2014 100%
Operational/Managerial Control Jul 23, 2014
Organization, Cincinnati, OH LLC, For-profit Adp of the SNF Jun 3, 2025
Organization, Agoura Hills, CA Adp of the SNF Apr 28, 1998
Susan Schwartz Individual Adp of the SNF Apr 28, 1998
Surena Boyce Individual Operational/Managerial Control Aug 27, 2012
Adp of the SNF Aug 27, 2012
Jose Rodriguez Perez Individual Operational/Managerial Control Apr 10, 2023
Adp of the SNF Apr 10, 2023
Organization, Skokie, IL LLC, For-profit Adp of the SNF Jun 3, 2025
Helen Kain Family Trust Fbo Diane Cutler Organization, Los Angeles, CA Owned by another organization or individual Indirect Ownership Interest Jul 23, 2014 1%
Organization, Portland, OR LLC, Consulting firm Adp of the SNF Jun 3, 2025
Shirley Mae Mualem Individual Operational/Managerial Control Oct 23, 2000
Adp of the SNF Oct 23, 2000
Cary Buchman Individual 5% Or Greater Indirect Ownership InterestPresident Jul 23, 2014 48%
Corporate OfficerPresident Aug 1, 1988
Corporate DirectorDirector Aug 1, 1988
Operational/Managerial Control Jan 11, 1996
Managing Control - Governing BodyPresident Aug 1, 1988
Adp of the SNF Jan 11, 1996
Organization, Encino, CA LLC, For-profit Adp of the SNF Jun 15, 2010
Steven Linghu Individual Operational/Managerial Control Jul 6, 2021
Adp of the SNF Jul 6, 2021
Organization, Encino, CA For-profit Adp of the SNF Apr 28, 1998
Organization, Los Angeles, CA Adp of the SNF Jan 1, 2024
Servando Alvarado Individual Operational/Managerial Control Oct 17, 1994
Adp of the SNF Oct 17, 1994
Marcy Fikany Individual Indirect Ownership Interest Jul 23, 2014 4%
Diana Lopez Individual Operational/Managerial Control Jun 12, 2023
Adp of the SNF Jun 12, 2023
Organization, Los Angeles, CA Adp of the SNF Jan 1, 2020
Organization, New Rochelle, NY Adp of the SNF Jan 1, 2024
Michael Schwartz Individual Adp of the SNF Apr 28, 1998
Varen Lave Individual Operational/Managerial Control Aug 4, 2022
Adp of the SNF Aug 4, 2022
Mildred de Castro Individual Operational/Managerial Control Apr 29, 2024
Adp of the SNF Apr 29, 2024
Linda G Buchman Individual 5% Or Greater Indirect Ownership Interest Jul 23, 2014 48%
Adp of the SNF Apr 28, 1998
Individual Adp of the SNF Jan 1, 2006
Rehab Alliance Organization, Encino, CA Corporation, For-profit Operational/Managerial Control Oct 1, 2017
Adp of the SNF Aug 6, 2025
Helen Kain Family Trust Fbo Kathy L. Collen Organization, Los Angeles, CA Owned by another organization or individual Indirect Ownership Interest Jul 23, 2014 1%
Buchman Living Trust Organization, Encino, CA 5% Or Greater Indirect Ownership Interest Jul 23, 2014 96%
Adp of the SNF Jan 1, 2007
Individual Adp of the SNF Jan 1, 2006
Organization, Beverly Hills, CA Adp of the SNF Jan 1, 2024
Jeffrey Goldenberg Individual Adp of the SNF Jan 1, 2024
Carl Nelson Individual Operational/Managerial Control Mar 1, 2020
Adp of the SNF Mar 1, 2020
Gary Delgado Individual Operational/Managerial Control Nov 29, 1999
Adp of the SNF Nov 29, 1999
Ben Lyons Individual Corporate DirectorDirector Jun 1, 2019
Operational/Managerial Control Apr 23, 2020
Adp of the SNF Apr 23, 2020
Judith Robles Individual Operational/Managerial ControlDirector of Nursing Dec 14, 2015 40%
Adp of the SNF Dec 14, 2015
Helen Kain Family Trust Fbo Michelle Kain Organization, Los Angeles, CA Owned by another organization or individual Indirect Ownership Interest Jul 23, 2014 2%
Mark Goldenberg Individual 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.

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 9

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": "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

Verify at the official NPI Registry.