Active NPI
Santa Fe Convalescent Hospital Inc
- Skilled Nursing Facility
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 940000147
- Legal business name
- SANTA FE CONVALESCENT HOSPITAL INC
- Practice address
- 3294 Santa Fe Ave
Long Beach, CA 90810-2408 - Phone
- (562) 424-0757
- Fax
- (562) 988-8770
- NPI assigned
- Sep 29, 2005
- 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
- Julie Pham
- Title
- Cfo
- Phone
- (562) 930-0777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 940000147 | CA | Primary |
Addresses
Primary practice location
3294 Santa Fe Ave
Long Beach, CA 90810-2408
Mailing address
4115 E Broadway
Long Beach, CA 90803-1532
Phone (562) 930-0777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZT05123F | Medicaid | CA |
Other names 2
- Beachside Post Acute
- SANTA FE CONVALESCENT HOSPITAL
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100104000040 | CA | Part A Provider - Skilled Nursing Facility | 3971644675 | Practice locations: Long Beach, CA |
Skilled nursing facility certification: CCN 055123
- Legal name
- SANTA FE CONVALESCENT HOSPITAL INC
- Doing business as
- BEACHSIDE POST ACUTE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 31, 1968
- Last certification
- Apr 11, 2025
- Beds
- 90
- Ownership / control type
- Corporation
- Organization structure
- Corporation
- Incorporated
- Mar 14, 1968 in CA
- Enrollment address
- 3294 Santa Fe Ave
Long Beach, CA 90810-2408 - Nursing home name
- BEACHSIDE POST ACUTE
- Affiliated entity
- THE MANDELBAUM FAMILY
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Beachside Post Acute
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Mar 31, 1968
- Medicare certification status
- Active
- Certified beds
- 90
- Chain
- The Mandelbaum Family
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0554779 | Santa Fe Convalescent Hospital | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 18
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 |
|---|---|---|---|
| Martin Ramos | Operational/Managerial Control | Jan 1, 1998 | |
| Adp of the SNF | Jan 1, 1998 | ||
| Chok P Wan | Operational/Managerial Control | Apr 1, 2019 | |
| Adp of the SNF | Apr 1, 2019 | ||
| Maria Bince Trippel | Operational/Managerial Control | Jan 3, 2024 | |
| Adp of the SNF | Jan 3, 2024 | ||
| Julie Pham | Operational/Managerial Control | Mar 16, 2000 | |
| Adp of the SNF | Mar 16, 2000 | ||
| Janet Mandelbaum | Corporate Officer | Jan 4, 2021 | |
| Corporate Director | Jan 4, 2021 | ||
| Gina Staana | Operational/Managerial Control | Feb 3, 2025 | |
| Adp of the SNF | Feb 3, 2025 | ||
| Hansen | Adp of the SNF | Jan 1, 2023 | |
| Simcha Mandelbaum | Operational/Managerial Control | Mar 1, 2026 | |
| Adp of the SNF | Mar 1, 2026 | ||
| Skillserve Inc | Adp of the SNF | Dec 20, 2007 | |
| Maria Castro-Garcia | Corporate Officer | Nov 6, 2019 | |
| Corporate Director | Nov 6, 2019 | ||
| The Bentzion Mandelbaum 2021 Irrevocable Gift Trust No. 2 | 5% Or Greater Direct Ownership Interest | Jan 1, 2023 | 50% |
| Mandelbaum Family Holdings LLC | Adp of the SNF | Jan 1, 2023 | |
| The Simcha Mandelbaum 2021 Irrevocable Gift Trust No. 2 | 5% Or Greater Direct Ownership Interest | Jan 1, 2023 | 30% |
| Marielle del Mundo | Operational/Managerial Control | Nov 6, 2023 | |
| Adp of the SNF | Nov 6, 2023 | ||
| The Janet Mandelbaum 2021 Irrevocable Gift Trust No 2 | 5% Or Greater Direct Ownership Interest | Jan 1, 2023 | 20% |
| Carolyn Encarnacion | Operational/Managerial Control | Oct 18, 2023 | |
| Adp of the SNF | Oct 18, 2023 | ||
| Amalia Nunez | Operational/Managerial Control | May 16, 2024 | |
| Adp of the SNF | May 16, 2024 | ||
| Clinton Williams | Operational/Managerial Control | May 4, 2010 | |
| Adp of the SNF | May 4, 2010 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Psychiatric/Mental Health Nurse Practitioner
- Irvine, CA
- NPI 1063123925
Adp of the SNF, Operational/Managerial Control
-
- Internal Medicine Physician
- Long Beach, CA
- NPI 1346346616
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 16
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Anaheim, CA
- NPI 1881681559
The Bentzion Mandelbaum 2021 Irrevocable Gift Trust No. 2, The Janet Mandelbaum 2021 Irrevocable Gift Trust No 2, The Simcha Mandelbaum 2021 Irrevocable Gift Trust No. 2
-
- Skilled Nursing Facility
- Anaheim, CA
- NPI 1033106703
The Bentzion Mandelbaum 2021 Irrevocable Gift Trust No. 2, The Janet Mandelbaum 2021 Irrevocable Gift Trust No 2, The Simcha Mandelbaum 2021 Irrevocable Gift Trust No. 2
-
- Skilled Nursing Facility
- Garden Grove, CA
- NPI 1437146032
The Bentzion Mandelbaum 2021 Irrevocable Gift Trust No. 2, The Janet Mandelbaum 2021 Irrevocable Gift Trust No 2, The Simcha Mandelbaum 2021 Irrevocable Gift Trust No. 2
-
- Skilled Nursing Facility
- Los Angeles, CA
- NPI 1639166242
The Bentzion Mandelbaum 2021 Irrevocable Gift Trust No. 2, The Janet Mandelbaum 2021 Irrevocable Gift Trust No 2, The Simcha Mandelbaum 2021 Irrevocable Gift Trust No. 2
-
- Skilled Nursing Facility
- Buena Park, CA
- NPI 1497742167
The Bentzion Mandelbaum 2021 Irrevocable Gift Trust No. 2, The Janet Mandelbaum 2021 Irrevocable Gift Trust No 2, The Simcha Mandelbaum 2021 Irrevocable Gift Trust No. 2
-
- Skilled Nursing Facility
- Bellflower, CA
- NPI 1154791895
The Bentzion Mandelbaum 2021 Irrevocable Gift Trust No. 2, The Janet Mandelbaum 2021 Irrevocable Gift Trust No 2, The Simcha Mandelbaum 2021 Irrevocable Gift Trust No. 2
-
- Skilled Nursing Facility
- Ventura, CA
- NPI 1497011282
The Bentzion Mandelbaum 2021 Irrevocable Gift Trust No. 2, The Janet Mandelbaum 2021 Irrevocable Gift Trust No 2, The Simcha Mandelbaum 2021 Irrevocable Gift Trust No. 2
-
- Skilled Nursing Facility
- Montclair, CA
- NPI 1851388458
The Bentzion Mandelbaum 2021 Irrevocable Gift Trust No. 2, The Janet Mandelbaum 2021 Irrevocable Gift Trust No 2, The Simcha Mandelbaum 2021 Irrevocable Gift Trust No. 2
-
- Skilled Nursing Facility
- Garden Grove, CA
- NPI 1295722809
The Bentzion Mandelbaum 2021 Irrevocable Gift Trust No. 2, The Janet Mandelbaum 2021 Irrevocable Gift Trust No 2, The Simcha Mandelbaum 2021 Irrevocable Gift Trust No. 2
-
- Skilled Nursing Facility
- Van Nuys, CA
- NPI 1073950614
The Bentzion Mandelbaum 2021 Irrevocable Gift Trust No. 2, The Janet Mandelbaum 2021 Irrevocable Gift Trust No 2, The Simcha Mandelbaum 2021 Irrevocable Gift Trust No. 2
-
- Skilled Nursing Facility
- Long Beach, CA
- NPI 1811390693
The Bentzion Mandelbaum 2021 Irrevocable Gift Trust No. 2, The Janet Mandelbaum 2021 Irrevocable Gift Trust No 2, The Simcha Mandelbaum 2021 Irrevocable Gift Trust No. 2
-
- Skilled Nursing Facility
- Sunland, CA
- NPI 1154669794
The Bentzion Mandelbaum 2021 Irrevocable Gift Trust No. 2, The Janet Mandelbaum 2021 Irrevocable Gift Trust No 2
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": "1127952000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779926400000",
"number": "1225025836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4115 E BROADWAY",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908031532",
"telephone_number": "562-930-0777",
"fax_number": "562-930-0728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3294 SANTA FE AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908102408",
"telephone_number": "562-424-0757",
"fax_number": "562-988-8770"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANTA FE CONVALESCENT HOSPITAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-29",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A",
"authorized_official_last_name": "PHAM",
"authorized_official_first_name": "JULIE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "562-930-0777"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": "940000147",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZT05123F",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Beachside Post Acute",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Beachside Post Acute",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "SANTA FE CONVALESCENT HOSPITAL",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.