Organization Active NPI

La Brea Rehabilitation Center, LLC

  • Skilled Nursing Facility
  • Los Angeles, CA
National Provider Identifier
1205299484
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Sep 17, 2025

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 CenterCCN 056195
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Oct 1, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
141133.2 residents per day on average
Penalties (3 years)
1Fines totaling $33,091

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
La Brea SNF LLC Organization, Los Angeles, CA Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 8, 2016 40%
La Brea Master Tenant LLC Organization, Los Angeles, CA LLC Adp of the SNF Mar 31, 2025
Meir Hakimi Individual Operational/Managerial Control Jun 12, 2023
Adp of the SNF Jun 12, 2023
Sr Investments LLC Organization, Pasadena, CA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Mar 8, 2016 60%
Ruth Berger Individual 5% Or Greater Indirect Ownership Interest Jun 1, 2016 30%
Organization, Los Angeles, CA Adp of the SNF Jun 1, 2019
Organization, Los Angeles, CA Adp of the SNF Sep 1, 2025
Elias Saadat Individual Operational/Managerial Control Jul 16, 2016
Adp of the SNF Jul 16, 2016
La Brea SNF Holdings LLC Organization, Los Angeles, CA Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Mar 8, 2016 40%
Samuel Dominguez Individual Operational/Managerial Control Jun 1, 2016
Adp of the SNF Jun 1, 2016
Jasper Troy Pasumbal Individual Operational/Managerial Control Oct 26, 2023
Adp of the SNF Oct 26, 2023
Individual Adp of the SNF Apr 1, 2020
Citrus Administrative Services, Inc. Organization, Pasadena, CA Corporation Operational/Managerial Control Mar 1, 2015
Adp of the SNF Mar 31, 2025
Steven Berger Individual 5% Or Greater Indirect Ownership Interest Jun 1, 2016 30%
Corporate OfficerManager Jun 1, 2016
Consuelo a. Gomonit Individual 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 5

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": "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

Verify at the official NPI Registry.