Organization Active NPI

Santa Fe Convalescent Hospital Inc

  • Skilled Nursing Facility
  • Long Beach, CA
National Provider Identifier
1225025836
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
940000147 Issued in CA
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

Updated by the provider on May 28, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
ZZT05123FMedicaidCA

Other names 2

  • Beachside Post Acute Doing business as
  • SANTA FE CONVALESCENT HOSPITAL Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 AcuteCCN 055123
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Mar 31, 1968
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9081.7 residents per day on average
Chain
The Mandelbaum Family18 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0554779Santa Fe Convalescent Hospital3294 Santa Fe Ave, Long Beach, CA 90810Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Martin Ramos Individual Operational/Managerial Control Jan 1, 1998
Adp of the SNF Jan 1, 1998
Chok P Wan Individual Operational/Managerial Control Apr 1, 2019
Adp of the SNF Apr 1, 2019
Maria Bince Trippel Individual Operational/Managerial Control Jan 3, 2024
Adp of the SNF Jan 3, 2024
Julie Pham Individual Operational/Managerial Control Mar 16, 2000
Adp of the SNF Mar 16, 2000
Janet Mandelbaum Individual Corporate OfficerPresident/Secretary Jan 4, 2021
Corporate DirectorPresident/Secretary Jan 4, 2021
Gina Staana Individual Operational/Managerial Control Feb 3, 2025
Adp of the SNF Feb 3, 2025
Hansen Organization, Portland, OR LLC, Consulting firm Adp of the SNF Jan 1, 2023
Simcha Mandelbaum Individual Operational/Managerial Control Mar 1, 2026
Adp of the SNF Mar 1, 2026
Skillserve Inc Organization, Long Beach, CA Corporation Adp of the SNF Dec 20, 2007
Maria Castro-Garcia Individual Corporate OfficerVP of Operations Nov 6, 2019
Corporate Director Nov 6, 2019
The Bentzion Mandelbaum 2021 Irrevocable Gift Trust No. 2 Organization, Long Beach, CA 5% Or Greater Direct Ownership Interest Jan 1, 2023 50%
Mandelbaum Family Holdings LLC Organization, Long Beach, CA LLC Adp of the SNF Jan 1, 2023
The Simcha Mandelbaum 2021 Irrevocable Gift Trust No. 2 Organization, Long Beach, CA 5% Or Greater Direct Ownership Interest Jan 1, 2023 30%
Marielle del Mundo Individual Operational/Managerial Control Nov 6, 2023
Adp of the SNF Nov 6, 2023
The Janet Mandelbaum 2021 Irrevocable Gift Trust No 2 Organization, Long Beach, CA 5% Or Greater Direct Ownership Interest Jan 1, 2023 20%
Carolyn Encarnacion Individual Operational/Managerial Control Oct 18, 2023
Adp of the SNF Oct 18, 2023
Amalia Nunez Individual Operational/Managerial Control May 16, 2024
Adp of the SNF May 16, 2024
Clinton Williams Individual 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.

Facilities with the same owner 16

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 16

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

Verify at the official NPI Registry.