Active NPI
California Home for the Aged, Inc.
- Skilled Nursing Facility
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 040000081
- Legal business name
- CALIFORNIA HOME FOR THE AGED, INC.
- Practice address
- 6720 E Kings Canyon Rd
Fresno, CA 93727-3603 - Phone
- (559) 251-8414
- Fax
- (559) 251-5766
- NPI assigned
- Nov 29, 2006
- 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
- Ms. Yuba Radojkovich
- Title
- Administrator
- Phone
- (559) 251-8414
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 040000081 | CA | Primary |
Addresses
Primary practice location
6720 E Kings Canyon Rd
Fresno, CA 93727-3603
Mailing address
6720 E Kings Canyon Rd
Fresno, CA 93727-3603
Phone (559) 251-8414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZR05955F | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080730000349 | CA | Part A Provider - Skilled Nursing Facility | 1052485729 | Practice locations: Fresno, CA |
Skilled nursing facility certification: CCN 055955
- Legal name
- CALIFORNIA HOME FOR THE AGED, INC.
- Doing business as
- CALIFORNIA ARMENIAN HOME
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- May 23, 1969
- Last certification
- Mar 20, 2025
- Beds
- 120
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Sep 25, 1968 in CA
- Enrollment address
- 6720 E Kings Canyon Rd
Fresno, CA 93727-3603 - Nursing home name
- CALIFORNIA HOME FOR THE AGED
Care Compare: Nursing home
Medicare Care Compare- Listed as
- California Home for the Aged
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- May 23, 1969
- Medicare certification status
- Active
- Certified beds
- 120
National Provider Directory
National Provider Directory- Tax ID family
- California Armenian Home
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Fresno, CA
- NPI 1487654646
Ownership & related parties
All disclosed owners & managing parties 30
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 |
|---|---|---|---|
| Adp of the SNF | May 1, 2023 | ||
| Tristan Payne | Operational/Managerial Control | May 11, 2022 | |
| Adp of the SNF | May 11, 2022 | ||
| Adp of the SNF | Oct 28, 2025 | ||
| Vahagn Bznouni | Corporate Director | Sep 1, 2021 | |
| Operational/Managerial Control | Sep 1, 2021 | ||
| Steven Shahbazian | Corporate Officer | Sep 1, 2023 | |
| Corporate Director | Sep 1, 2023 | ||
| Operational/Managerial Control | Sep 1, 2023 | ||
| Mitch Bagdasarian | Corporate Officer | Sep 1, 2022 | |
| Corporate Director | Sep 1, 2022 | ||
| Operational/Managerial Control | Sep 1, 2022 | ||
| Charlene Harris | Operational/Managerial Control | Dec 18, 2023 | |
| Adp of the SNF | Dec 18, 2023 | ||
| Adp of the SNF | Oct 28, 2025 | ||
| Gary Krboyan | Corporate Officer | Sep 1, 2021 | |
| Corporate Director | Sep 1, 2021 | ||
| Operational/Managerial Control | Sep 1, 2021 | ||
| Mary Braa | Corporate Officer | Sep 1, 2022 | |
| Corporate Director | Sep 1, 2022 | ||
| Operational/Managerial Control | Sep 1, 2022 | ||
| Michael Hannigan | Corporate Officer | Sep 1, 2021 | |
| Corporate Director | Sep 1, 2021 | ||
| Operational/Managerial Control | Sep 1, 2021 | ||
| Melanie Gonzales | Operational/Managerial Control | Jan 23, 2025 | |
| Adp of the SNF | Jan 23, 2025 | ||
| Adp of the SNF | Oct 28, 2025 | ||
| Lucy Grayson | Corporate Officer | Sep 11, 2018 | |
| Corporate Director | Sep 11, 2018 | ||
| Operational/Managerial Control | Sep 11, 2018 | 100% | |
| Georgia Sample | Corporate Officer | Sep 1, 2022 | |
| Corporate Director | Sep 1, 2022 | ||
| Operational/Managerial Control | Sep 1, 2022 | ||
| Lori Buwalda | Operational/Managerial Control | Apr 14, 2025 | |
| Adp of the SNF | Apr 14, 2025 | ||
| Adp of the SNF | Jun 16, 2025 | ||
| Edward Hokokian | Corporate Officer | Sep 1, 2023 | |
| Corporate Director | Sep 1, 2023 | ||
| Operational/Managerial Control | Sep 1, 2023 | ||
| Robert Mangasarian | Corporate Officer | Sep 11, 2018 | |
| Corporate Director | Sep 11, 2018 | ||
| Operational/Managerial Control | Sep 11, 2018 | ||
| Christopher L. Telesmanic | Operational/Managerial Control | Jul 1, 2014 | |
| Adp of the SNF | Jul 1, 2014 | ||
| Varoujan Der Simonian | Corporate Officer | Sep 1, 2021 | |
| Corporate Director | Sep 1, 2021 | ||
| Operational/Managerial Control | Sep 1, 2021 | ||
| Office of Statewide Health Planning and Development | 5% Or Greater Mortgage Interest | Nov 20, 2018 | 41% |
| 5% Or Greater Security Interest | Nov 20, 2018 | 41% | |
| Dennis Bacopulos | Corporate Officer | Sep 1, 2023 | |
| Operational/Managerial Control | Sep 1, 2023 | ||
| Adp of the SNF | Sep 1, 2023 | ||
| Adp of the SNF | Apr 1, 2024 | ||
| Terry Andersen | Operational/Managerial Control | May 29, 2019 | |
| Adp of the SNF | May 29, 2019 | ||
| Barinder Kaur Saran | Operational/Managerial Control | Jun 16, 2025 | |
| Adp of the SNF | Jun 16, 2025 | ||
| Asha Pritpal S Sidhu | Operational/Managerial Control | Apr 1, 2007 | |
| Adp of the SNF | Apr 1, 2007 | ||
| Nick Nolen | Operational/Managerial Control | May 8, 2023 | |
| Adp of the SNF | May 8, 2023 | ||
| Angela Hopkins | Operational/Managerial Control | Jun 1, 2022 | |
| Adp of the SNF | Jun 1, 2022 | ||
| Rajwindor Toor | Operational/Managerial Control | Jan 2, 2025 | |
| Adp of the SNF | Jan 2, 2025 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1255430286
Adp of the SNF, Operational/Managerial Control
-
- Physical Therapist
- Garden Grove, CA
- NPI 1750438941
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Affiliated clinicians 3
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": "1164758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217376000000",
"number": "1205903176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6720 E KINGS CANYON RD",
"city": "FRESNO",
"state": "CA",
"postal_code": "937273603",
"telephone_number": "559-251-8414",
"fax_number": "559-251-5766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6720 E KINGS CANYON RD",
"city": "FRESNO",
"state": "CA",
"postal_code": "937273603",
"telephone_number": "559-251-8414",
"fax_number": "559-251-5766"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CALIFORNIA HOME FOR THE AGED, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-29",
"last_updated": "2008-07-30",
"status": "A",
"authorized_official_last_name": "RADOJKOVICH",
"authorized_official_first_name": "YUBA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "559-251-8414",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": "040000081",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZR05955F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
- California Endocrine Consultants Professional Corporation
- California Endoscoy Centers, LLC
- California Eye Institute Medical Group
- California Forensic Institute
- California Heart Medical Associates, Inc
- California Home for the Aged, Inc.
- California Home Medical, Inc.
- California Home Medical, Inc.
- California Home Sleep Testing LLC
- California Imaging Institute Medical Group Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.