California Rehabilitation Institute, LLC
Organization Active NPI Rehabilitation Hospital · Los Angeles, CA
NPI 1265814065 · NPPES record last updated Sep 10, 2025
Key facts
- NPI
- 1265814065
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Hospital 283X00000X
- Legal business name
- CALIFORNIA REHABILITATION INSTITUTE, LLC
- Practice address
- 2070 Century Park E
Los Angeles, CA 90067-1907 - Phone
- (324) 424-1000
- NPI assigned
- Jun 29, 2015
- Organization subpart
- No
Authorized official
- Name
- John Duggan
- Title
- VP
- Phone
- (717) 972-1100
Owners & managing parties with NPI records 12
Member of 3
Facilities with the same owner 134
Affiliated clinicians 14
-
Christopher V Boudakian, D.O.
-
Julia E. Bryson, M.D.
-
Tracy Yun-Shin Chang, M.D.
-
Daun Chung, D.O.
-
Seth Herman, M.D.
-
Ken Hsin, M.D.
-
Mary Catherine Nasmyth, M.D.
-
Timothy Nguyen, MD
-
Srikanth S. Rao, DO
-
Michael Su, M.D.
-
Kavitha Swaminathan, D.O.
Medicare Care Compare: Inpatient rehabilitation facility
- Listed as
- California Rehabilitation Institute, LLC
- Ownership
- For profit
- Certified
- Sep 20, 2016
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2104472 | California Rehabilitation Institute, LLC | Certificate of waiver | Nov 4, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Hospital certification: CCN 053039
- Legal name
- CALIFORNIA REHABILITATION INSTITUTE, LLC
- Doing business as
- CALIFORNIA REHABILITATION INSTITUTE
- Certification status
- Active
- Provider type (POS)
- Hospital – Rehabilitation
- Participating since
- Sep 20, 2016
- Last certification
- Jan 27, 2023
- Beds
- 138
- Ownership / control type
- Private (for profit)
- Organization structure
- LLC · Proprietary
- Incorporated
- Nov 25, 2013 in DE
- Enrollment address
- 2070 Century E Park
Los Angeles, CA 90067-1907 - Hospital subgroups
- Rehabilitation
All disclosed owners & managing parties 18
| Name | Role | Since | Share |
|---|---|---|---|
| Hospital Holdings Corporation |
5% Or Greater Indirect Ownership Interest | Dec 1, 2015 | 100% |
| Michelle Sullivan |
Corporate Officer |
Apr 20, 2026 | |
| W-2 Managing Employee |
Apr 20, 2026 | ||
| Operational/Managerial Control |
Apr 20, 2026 | ||
| Cedars-Sinai Medical Center |
5% Or Greater Direct Ownership Interest | Dec 1, 2015 | 38.1% |
| Select Synergos Inc |
5% Or Greater Direct Ownership Interest | Jan 1, 2023 | 0.1% |
| Select Medical Corporation |
5% Or Greater Indirect Ownership Interest | Dec 1, 2015 | 100% |
| Thomas Mullin |
Corporate Officer | Sep 3, 2025 | |
| Select Hospital Investors, Inc |
5% Or Greater Direct Ownership Interest | Dec 1, 2015 | 51% |
| Kessler Rehabilitation Services Inc |
Operational/Managerial Control | Dec 1, 2010 | 100% |
| John Saich |
Corporate Officer | Sep 3, 2025 | |
| Robert Breighner |
W-2 Managing Employee |
Sep 3, 2025 | |
| Select Specialty Hospitals Inc |
5% Or Greater Indirect Ownership Interest | Dec 1, 2015 | 100% |
| Thomas M Priselac |
Corporate Officer | Dec 1, 2015 | |
| Regents Univ of Calif Los Angeles |
5% Or Greater Direct Ownership Interest | Dec 1, 2015 | 10.9% |
| Michael Malatesta |
Corporate Officer | Sep 3, 2025 | |
| Robert Kido |
Corporate Officer | Sep 3, 2025 | |
| Brandon K Koretz |
Corporate Officer | Dec 1, 2015 | |
| Cedars-Sinai Health System |
Other | May 1, 2017 | |
| John Duggan |
Corporate Officer | Sep 3, 2025 | |
| Corporate Director | Sep 3, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150918002596 | CA | Part a Provider - Hospital | 7810204120 | Practice locations: Los Angeles, CA |
National Provider Directory
Locations
8631 W 3rd St
Ste 951E
Los Angeles, CA 90048
Phone (310) 423-3063
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital | 283X00000X | Yes |
Addresses
Primary practice location
2070 Century Park E
Los Angeles, CA 90067-1907
Mailing address
4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
Phone (717) 972-1100
Other providers in Los Angeles, CA
- California Recuperative Partners
- California Rehab & Sports Therapy
- California Rehab and Sports Therapy
- California Rehab and Sports Therapy
- California Rehabilitation Clinic
- California Relationship Clinic
- California Sleep Centers LLC
- California State University Los Angeles Student Health Center
- California State University Los Angeles Student Health Ctr. Pharmacy
- California State University, Los Angeles
All providers in Los Angeles, CA · Rehabilitation Hospital in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.