San Pedro Convalescent Home, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SAN PEDRO CONVALESCENT HOME, INC.

Practice address

1430 W 6TH St
San Pedro, CA 90732-3503

Phone

(310) 832-6431

Fax

(310) 832-3390

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Celia Valdomar, NHA

Title

Administrator

Phone

(310) 832-6431

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LOS PALOS CONVALESCENT HOSPITAL Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Skilled nursing facility certification: CCN 055527

Legal name

SAN PEDRO CONVALESCENT HOME, INC.

Doing business as

LOS PALOS POST ACUTE CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 13, 1967

Last certification

May 3, 2024

Beds

99

Ownership / control type

Corporation

Organization structure

CorporationProprietary

Incorporated

Oct 2, 1963 in CA

Enrollment address

1430 W 6TH St
San Pedro, CA 90732-3503

Nursing home name

WHITE POINT CARE CENTER

Listed as

White Point Care CenterCCN 055527

Overall star rating

1 of 5

Health inspections

2 of 5

Staffing

1 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jan 13, 1967

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9994.3 residents per day on average

Penalties (3 years)

2Fines totaling $6,351

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

All disclosed owners & managing parties 3

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

Affiliated clinicians 4

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

• Mona S Shah, MD

  • Internal Medicine Physician
  • San Pedro, CA
  • NPI 1609087543

  Nursing home

  Care Compare affiliation
• Paul Sliskovich, MD

  • Family Medicine Physician
  • Gardena, CA
  • NPI 1245892934

  Nursing home

  Care Compare affiliation
• Robert Thayer, DO

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1396199378

  Nursing home

  Care Compare affiliation
• Aaron Khoi Minh Tran, M.D.

  • Internal Medicine Physician
  • Torrance, CA
  • NPI 1841453032

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1306914775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 W 6TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323503",
            "telephone_number": "310-832-6431",
            "fax_number": "310-832-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 W 6TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323503",
            "telephone_number": "310-832-6431",
            "fax_number": "310-832-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN PEDRO CONVALESCENT HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "VALDOMAR",
        "authorized_official_first_name": "CELIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-832-6431",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05527F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOS PALOS CONVALESCENT HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samuel K Wirtschafter MD Inc
• Samuels Chiropractic Health Corporation
• Khaleed Samuels, D.C. C.C.S.P
• San Miguel Urgent Care San Pedro
• San Pedro Acupuncture Corporation
• San Pedro Dental
• San Pedro Eye Medical Group, Inc a Professional Medical Corporation
• San Pedro Healing Arts Medical Clinic Inc
• San Pedro Hospice Inc.
• San Pedro Hospitalist Medical Group Inc

• Skilled Nursing Facility in San Pedro, CA
• Providers in San Pedro, 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 Mar 6, 2008; 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.