Park Regency Care LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PARK REGENCY CARE LLC

Practice address

1770 W la Habra Blvd
La Habra, CA 90631

Phone

(714) 773-0750

Fax

(562) 697-8478

NPI assigned

Sep 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Mark A Mortensen

Title

Sr VP Finance

Phone

(714) 577-3880

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Park Regency Care Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Skilled nursing facility certification: CCN 555536

Legal name

PARK REGENCY CARE LLC

Doing business as

PARK REGENCY CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Feb 3, 1993

Last certification

Oct 10, 2024

Beds

99

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Sun Mar Healthcare

Organization structure

LLCProprietary

Incorporated

Jul 17, 2001 in CA

Enrollment address

1770 W la Habra Blvd
La Habra, CA 90631-5130

Nursing home name

PARK REGENCY CARE CENTER

Affiliated entity

DAVID JOHNSON

Listed as

Park Regency Care CenterCCN 555536

Overall star rating

4 of 5

Health inspections

3 of 5

Staffing

3 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Feb 3, 1993

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9992.6 residents per day on average

Chain

David Johnson48 facilities in the chain

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 15

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 2

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

• Eli E Marmur, M.A., R.P.T.

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1720199664

  5% Or Greater Direct Ownership Interest

  CMS ownership
• James H Song, M.D.

  • Specialist
  • City of Industry, CA
  • NPI 1679662217

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 8

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

• Joey Asfahan, MD

  • Family Medicine Physician
  • Orange, CA
  • NPI 1639706211

  Nursing home

  Care Compare affiliation
• Carl William Buckhorn, M.D.

  • Internal Medicine Physician
  • Yorba Linda, CA
  • NPI 1649264847

  Nursing home

  Care Compare affiliation
• Alex Hashemi, MD

  • Internal Medicine Physician
  • Santa Ana, CA
  • NPI 1275161184

  Nursing home

  Care Compare affiliation
• Andrew Imparato, M.D

  • Family Medicine Physician
  • Fullerton, CA
  • NPI 1720400971

  Nursing home

  Care Compare affiliation
• Andrew Paul Morado, M.D.

  • Internal Medicine Physician
  • Anaheim, CA
  • NPI 1740554328

  Nursing home

  Care Compare affiliation
• Daniel Park

  • Family Medicine Physician
  • Chino, CA
  • NPI 1609296433

  Nursing home

  Care Compare affiliation
• James H Song, M.D.

  • Specialist
  • City of Industry, CA
  • NPI 1679662217

  Nursing home

  Care Compare affiliation
• Yi Wang, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • City of Industry, CA
  • NPI 1427248319

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184720005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 SATURN STREET",
            "address_2": "SUITE #201",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216278",
            "telephone_number": "714-577-3880",
            "fax_number": "714-577-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 W LA HABRA BLVD",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "90631",
            "telephone_number": "714-773-0750",
            "fax_number": "562-697-8478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK REGENCY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORTENSEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SR VP FINANCE",
        "authorized_official_telephone_number": "714-577-3880",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55536G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Regency Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pacific Smile Dental Clinic
• Yon Kyong Pae
• Betty Page
• Yelennia Palacios, M.D., M.S.L.
• Puja Milan Parekh, O.D.
• Jinwoo Park
• Ki B Park, D.C.
• Nam Woon Park
• Seung Sook Park
• Jessica Parker, PHARM.D.

• Skilled Nursing Facility in La Habra, CA
• Providers in La Habra, 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 Aug 22, 2020; 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.