NPIMap

Organization Active NPI

Asbw, LLC

  • Skilled Nursing Facility
  • Santa Monica, CA
National Provider Identifier
1245865682
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ASBW, LLC
Practice address
1623 Arizona Ave
Santa Monica, CA 90404-1209
Phone
(310) 829-4565
NPI assigned
Mar 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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

Authorized official

Name
Jared Kirkwood
Title
General Counsel
Phone
(949) 347-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1623 Arizona Ave
Santa Monica, CA 90404-1209

Mailing address

28202 Cabot Rd Ste 412
Laguna Niguel, CA 92677-1271
Phone (949) 347-7100

Other names 1

  • Berkley West Healthcare Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210223003042 CA Part A Provider - Skilled Nursing Facility 1153736251 Practice locations: Santa Monica, CA

Skilled nursing facility certification: CCN 055136

Legal name
ASBW, LLC
Doing business as
BERKLEY EAST CONVALESCENT HOSPITAL
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Jan 1, 1967
Last certification
Nov 10, 2024
Beds
54
Ownership / control type
Corporation
Organization structure
LLCProprietary
Incorporated
May 21, 2019 in CA
Enrollment address
1623 Arizona Ave
Santa Monica, CA 90404-1335
Nursing home name
BERKLEY WEST HEALTHCARE CENTER
Affiliated entity
ASPEN SKILLED HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Berkley West Healthcare CenterCCN 055136
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare
Ownership
For profit - Corporation
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5443.9 residents per day on average
Chain
Aspen Skilled Healthcare35 facilities in the chain
Penalties (3 years)
1Fines totaling $101,046

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

1623 Arizona Ave
Santa Monica, CA 90404
Phone (213) 373-3301

Ownership & related parties

All disclosed owners & managing parties 23

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

NameRoleSinceShare
Craig Orgill Individual Indirect Ownership Interest Feb 19, 2021 1.3%
Jared Kirkwood Individual Indirect Ownership Interest Feb 19, 2021 0.3%
Eric Elsner Individual Indirect Ownership Interest Feb 19, 2021 4.08%
Jeffrey J Bradshaw Individual 5% Or Greater Indirect Ownership Interest Feb 19, 2021 22.25%
Adp of the SNF Jan 1, 2023
Asbw, LLC Organization, Laguna Niguel, CA Created for acquisition, LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 19, 2021 100%
Operational/Managerial Control Feb 19, 2021
Adp of the SNF Feb 19, 2021
Timothy Caslmon Individual Corporate OfficerLLC Manager Jan 1, 2023
Operational/Managerial Control Jan 1, 2023
Adp of the SNF Jan 1, 2023
Marcus J Paxman Individual Adp of the SNF Jan 1, 2023
Indirect Ownership Interest Apr 1, 2022 0.01%
Aynalem Anley Individual Operational/Managerial Control Aug 1, 2021
Adp of the SNF Aug 1, 2021
Aspen Skilled Healthcare Inc Organization, Laguna Niguel, CA Corporation, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 19, 2021 100%
Aspen Healthcare Services LLC Organization, Laguna Niguel, CA LLC, Consulting firm, For-profit Adp of the SNF Jan 1, 2023
Wells Fargo Bank, National Assocaition Organization, San Francisco, CA Corporation, Financial institution, For-profit Adp of the SNF Feb 19, 2021
Jacaranda Healthcare Group LLC Organization, Laguna Niguel, CA LLC, Consulting firm, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2023 100%
Adp of the SNF Jan 1, 2023
Susan D Leonard Individual Operational/Managerial Control Oct 1, 2020
Adp of the SNF Oct 1, 2020
Stephen Thompson Individual Corporate OfficerLLC Manager Jan 1, 2023
Operational/Managerial Control Jan 1, 2023
Adp of the SNF Jan 1, 2023
East West Bank Organization, Pasaden, CA Corporation, Financial institution, For-profit Adp of the SNF Feb 19, 2025
Frank Jurado Individual Adp of the SNF Jan 1, 2023
Vern J Brady Individual 5% Or Greater Indirect Ownership Interest Jun 29, 2019 31.95%
Corporate OfficerManager May 29, 2019
Adp of the SNF Jan 1, 2023
Arizona & 21St Corp Organization, Los Angeles, CA Corporation, For-profit Adp of the SNF Apr 24, 2026
Shruty Parti Individual Indirect Ownership Interest Feb 19, 2021 4.08%
Moss Adams LLP Organization, Irvine, CA For-profit Adp of the SNF Feb 19, 2021
Peter Bradshaw Individual Indirect Ownership Interest Jul 7, 2023 0.09%
Rajesh Parti Individual Indirect Ownership Interest Feb 19, 2021 4.08%
Uduka Eme Individual Operational/Managerial Control Aug 1, 2021
Adp of the SNF Aug 1, 2021

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 21

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

View all 21

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": "1583366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583366400000",
    "number": "1245865682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28202 CABOT RD STE 412",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771271",
            "telephone_number": "949-347-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 ARIZONA AVE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041209",
            "telephone_number": "310-829-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASBW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-05",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A",
        "authorized_official_last_name": "KIRKWOOD",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "949-347-7100"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berkley West Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.