Active NPI
La Brea Rehabilitation Center, LLC
- Skilled Nursing Facility
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- LA BREA REHABILITATION CENTER, LLC
- Practice address
- 505 N la Brea Ave
Los Angeles, CA 90036-2015 - Phone
- (626) 793-6152
- NPI assigned
- Apr 4, 2016
- 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
- Steven Berger
- Title
- Manager
- Phone
- (626) 793-6152
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
505 N la Brea Ave
Los Angeles, CA 90036-2015
Mailing address
990 E del Mar Blvd
Pasadena, CA 91106-3252
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161219000310 | CA | Part A Provider - Skilled Nursing Facility | 5395025969 | Practice locations: Los Angeles, CA |
Skilled nursing facility certification: CCN 056195
- Legal name
- LA BREA REHABILITATION CENTER LLC
- Doing business as
- LA BREA REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 1, 1978
- Last certification
- May 23, 2024
- Beds
- 141
- Ownership / control type
- Corporation
- Organization structure
- LLC
- Incorporated
- Mar 8, 2016 in CA
- Enrollment address
- 505 N la Brea Ave
Los Angeles, CA 90036-2015 - Nursing home name
- LA BREA REHABILITATION CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- La Brea Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Oct 1, 1978
- Medicare certification status
- Active
- Certified beds
- 141
- Penalties (3 years)
- 1
National Provider Directory
National Provider DirectoryOwnership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| La Brea SNF LLC | 5% Or Greater Indirect Ownership Interest | Mar 8, 2016 | 40% |
| La Brea Master Tenant LLC | Adp of the SNF | Mar 31, 2025 | |
| Meir Hakimi | Operational/Managerial Control | Jun 12, 2023 | |
| Adp of the SNF | Jun 12, 2023 | ||
| Sr Investments LLC | 5% Or Greater Direct Ownership Interest | Mar 8, 2016 | 60% |
| Ruth Berger | 5% Or Greater Indirect Ownership Interest | Jun 1, 2016 | 30% |
| Adp of the SNF | Jun 1, 2019 | ||
| Adp of the SNF | Sep 1, 2025 | ||
| Elias Saadat | Operational/Managerial Control | Jul 16, 2016 | |
| Adp of the SNF | Jul 16, 2016 | ||
| La Brea SNF Holdings LLC | 5% Or Greater Direct Ownership Interest | Mar 8, 2016 | 40% |
| Samuel Dominguez | Operational/Managerial Control | Jun 1, 2016 | |
| Adp of the SNF | Jun 1, 2016 | ||
| Jasper Troy Pasumbal | Operational/Managerial Control | Oct 26, 2023 | |
| Adp of the SNF | Oct 26, 2023 | ||
| Adp of the SNF | Apr 1, 2020 | ||
| Citrus Administrative Services, Inc. | Operational/Managerial Control | Mar 1, 2015 | |
| Adp of the SNF | Mar 31, 2025 | ||
| Steven Berger | 5% Or Greater Indirect Ownership Interest | Jun 1, 2016 | 30% |
| Corporate Officer | Jun 1, 2016 | ||
| Consuelo a. Gomonit | Operational/Managerial Control | Jul 6, 2020 | |
| Adp of the SNF | Jul 6, 2020 |
Facilities with the same owner 2
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Sunland, CA
- NPI 1346808987
Citrus Administrative Services, Inc.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Panorama City, CA
- NPI 1942678263
Affiliated clinicians 5
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- West Hollywood, CA
- NPI 1285964577
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459728000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758067200000",
"number": "1205299484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "990 E DEL MAR BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911063252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 N LA BREA AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900362015",
"telephone_number": "626-793-6152"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LA BREA REHABILITATION CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-04",
"last_updated": "2025-09-17",
"certification_date": "2025-09-17",
"status": "A",
"authorized_official_last_name": "BERGER",
"authorized_official_first_name": "STEVEN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "626-793-6152"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; 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.