Del Amo Gardens Convalescent Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

910000039 Issued in CA

Legal business name

DEL AMO GARDENS CONVALESCENT CENTER, LLC

Doing business as

Del Amo Gardens Care Center

Practice address

22419 Kent Ave
Torrance, CA 90505-2303

Phone

(310) 378-4233

Fax

(310) 378-1724

NPI assigned

Dec 14, 2005

Last updated

Jul 15, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tammy Mora

Title

Associate Director of PT Accounting

Phone

(562) 576-1284

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Del Amo Gardens Care Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215912910. Details of each certification follow.

• CCN 555706 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 555706

Legal name

DEL AMO GARDENS CONVALESCENT

Doing business as

DEL AMO GARDENS CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 29, 1997

Last certification

Nov 23, 2024

Beds

94

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

Oct 1, 2002 in CA

Enrollment address

22419 Kent Ave
Torrance, CA 90505-2303

Nursing home name

DEL AMO GARDENS CARE CENTER

Listed as

Del Amo Gardens Care CenterCCN 555706 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jun 29, 1997

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9474.8 residents per day on average

Penalties (3 years)

2Fines totaling $8,018

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

Locations

All disclosed owners & managing parties 7

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven J Weiss, MD

  • Gastroenterology Physician
  • Downey, CA
  • NPI 1457569162
  NPD (past)

Affiliated clinicians 4

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

• Richard Montero Butlig, MD

  • Internal Medicine Physician
  • Torrance, CA
  • NPI 1912968447

  Nursing home

  Care Compare affiliation
• Elham Ghadishah, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Culver City, CA
  • NPI 1174546071

  Nursing home

  Care Compare affiliation
• Chong U Kim, MD

  • Internal Medicine Physician
  • Torrance, CA
  • NPI 1528034485

  Nursing home

  Care Compare affiliation
• David D Oh, M.D.

  • Rheumatology Physician
  • Torrance, CA
  • NPI 1366549255

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1215912910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22419 KENT AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052303",
            "telephone_number": "310-378-4233",
            "fax_number": "310-378-1724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22419 KENT AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052303",
            "telephone_number": "310-378-4233",
            "fax_number": "310-378-1724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEL AMO GARDENS CONVALESCENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-14",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "MORA",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR OF PT ACCOUNTING",
        "authorized_official_telephone_number": "562-576-1284"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "910000039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55706F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Del Amo Gardens Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Kay Dejaifre, MFT
• Bryn Dejardin, PHYSICAL THERAPIST
• Tanya Dejkunchorn, D.C.
• Del Amo Dermatology a Medical Corp
• Del Amo Family Medical Group Inc
• Del Amo Hospital, Inc (Del Amo Behavioral Health System)
• Del Amo Optometry a Professional Corporation
• Del Amo Pet Imaging Center LLC
• Del Amo Professional Pharmacy
• Del Amo Smiles Dentistry, Prof. Corp (Del Amo Smiles Dentistry)

• Skilled Nursing Facility in Torrance, CA
• Providers in Torrance, 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 Jul 15, 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.

Verify at the official NPI Registry.