Organization Active NPI

SGV Healthcare Inc

Doing business as Live Oak Rehabilitation Center

  • Skilled Nursing Facility
  • San Gabriel, CA
National Provider Identifier
1194805630
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
950000027 Issued in CA
Legal business name
SGV HEALTHCARE INC
Doing business as
Live Oak Rehabilitation Center
Practice address
537 W Live Oak St
San Gabriel, CA 91776-1149
Phone
(626) 289-3763
Fax
(626) 289-2302
NPI assigned
Oct 17, 2006
Last updated
Apr 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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

Authorized official

Name
David Friedman
Title
President
Phone
(213) 389-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 950000027 CA Primary

Addresses

Primary practice location

537 W Live Oak St
San Gabriel, CA 91776-1149

Mailing address

4032 Wilshire Blvd FL 6
Los Angeles, CA 90010-3425
Phone (213) 389-6900

Other identifiers 1

IdentifierTypeStateIssuer
ZZT06127HMedicaidCA

Other names 1

  • LIVE OAK REHABILITATION CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120426000131 CA Part A Provider - Skilled Nursing Facility 3476715137 Practice locations: San Gabriel, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194805630. Details of each certification follow.

Skilled nursing facility certification: CCN 056127

Legal name
SGV HEALTHCARE INC
Doing business as
LIVE OAK REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 1, 1974
Last certification
Feb 21, 2025
Beds
99
Ownership / control type
Corporation
Multi-facility organization
Longwood Management Corporation
Organization structure
CorporationProprietary
Incorporated
Nov 9, 1993 in CA
Enrollment address
537 W Live Oak St
San Gabriel, CA 91776-1149
Nursing home name
LIVE OAK REHAB CENTER
Affiliated entity
LONGWOOD MANAGEMENT CORPORATION

Care Compare: Nursing home

Medicare Care Compare
Listed as
Live Oak Rehab CenterCCN 056127 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 1, 1974
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9995.7 residents per day on average
Chain
Longwood Management Corporation38 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
1Fines totaling $27,425

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
05D0564643Live Oak Rehabilitation Center537 W Live Oak St, San Gabriel, CA 91776Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

537 W Live Oak St
San Gabriel, CA 91776
Phone (626) 289-3763

Ownership & related parties

All disclosed owners & managing parties 27

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

NameRoleSinceShare
Aaron Friedman Individual 5% Or Greater Indirect Ownership Interest Jun 30, 2023 20%
Trustee of the SNF Jun 30, 2023
Adp of the SNF Jun 30, 2023
Organization, Chicago, IL LLC, For-profit Adp of the SNF Jun 30, 2023
Organization, Portland, OR LLC, Holding company, For-profit Adp of the SNF Jun 30, 2023
Libby Lehmann Individual 5% Or Greater Indirect Ownership Interest Jun 30, 2023 20%
Trustee of the SNF Jun 30, 2023
Rachel Klavan Individual 5% Or Greater Indirect Ownership Interest Jun 30, 2023 20%
Corporate DirectorDirector Jun 30, 2023 20%
Trustee of the SNF Jun 30, 2023
Lehmann Family 1991 Trust Organization, Los Angeles, CA For-profit 5% Or Greater Direct Ownership Interest Jun 30, 2023 20%
Adp of the SNF Jun 30, 2023
Organization, Los Angeles, CA For-profit Adp of the SNF Jun 30, 2023
The Klavan Family Trust Organization, Los Angeles, CA 5% Or Greater Direct Ownership Interest Jun 30, 2023 20%
Joshua Klavan Individual Corporate OfficerVice President/Secretary Dec 1, 2022
Operational/Managerial Control Dec 1, 2022
Adp of the SNF Nov 16, 1986
Shmuel Notis Individual Trustee of the SNF Jun 30, 2023
Jilin Bai Individual Operational/Managerial Control Dec 14, 2023
Adp of the SNF Dec 14, 2023
Organization, Portland, OR Corporation, Holding company, For-profit Adp of the SNF Jun 30, 2023
Individual Adp of the SNF Jun 30, 2023
537 West Live Oak LP Organization, Los Angeles, CA For-profit Adp of the SNF Jun 30, 2023
Organization, Portland, OR LLC, Consulting firm, For-profit Adp of the SNF Jun 30, 2023
Sonia Melchor Individual Operational/Managerial Control Jan 18, 2024
Adp of the SNF Jan 18, 2024
Longwood Management LLC Organization, Los Angeles, CA LLC, For-profit, Chain home office Adp of the SNF Jan 1, 2023
The Tzippy Friedman Notis 1990 Trust Organization, Los Angeles, CA For-profit 5% Or Greater Direct Ownership Interest Jun 30, 2023 20%
Adp of the SNF Jun 30, 2023
Ira D Friedman 1991 Trust Organization, Los Angeles, CA For-profit 5% Or Greater Direct Ownership Interest Jun 30, 2023 20%
Adp of the SNF Jun 30, 2023
Organization, Placentia, CA Corporation, For-profit Adp of the SNF Jun 30, 2023
Organization, Portland, OR LLC, Holding company, For-profit Adp of the SNF Jun 30, 2023
Organization, Chicago, IL LLC, Holding company, For-profit Adp of the SNF Jun 30, 2023
Friedman Family Trust Organization, Los Angeles, CA For-profit 5% Or Greater Direct Ownership Interest Jun 30, 2023 20%
Adp of the SNF Jun 30, 2023
Ira David Friedman Individual 5% Or Greater Indirect Ownership Interest Jun 30, 2023 20%
Corporate OfficerPresident Jun 30, 2023 20%
Corporate DirectorPresident Jun 30, 2023 20%
Trustee of the SNF Jun 30, 2023
Chris Turney Individual Operational/Managerial Control Dec 12, 2022
Adp of the SNF Dec 12, 2022
Zaid Pervaiz Individual Adp of the SNF Jan 1, 2013
Organization, Portland, OR LLC, Holding company, For-profit Adp of the SNF Jun 30, 2023

Facilities with the same owner 24

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

View all 24

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": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524614400000",
    "number": "1194805630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4032 WILSHIRE BLVD FL 6",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103425",
            "telephone_number": "213-389-6900",
            "fax_number": "213-368-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 W LIVE OAK ST",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761149",
            "telephone_number": "626-289-3763",
            "fax_number": "626-289-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SGV HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2018-04-25",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-389-6900"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "950000027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT06127H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIVE OAK REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LIVE OAK REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Gabriel, CA

Sources for this page

Verify at the official NPI Registry.