St Vincent Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

970000080 Issued in CA

Legal business name

ST VINCENT HEALTHCARE LLC

Doing business as

St Vincent Healthcare

Practice address

1810 N Fair Oaks Ave
Pasadena, CA 91103-1619

Phone

(626) 398-8182

Fax

(626) 398-0473

NPI assigned

Apr 28, 2010

Last updated

Apr 23, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Cipriano Bautista, ADMINISTRATOR

Title

Administrator/Member

Phone

(626) 398-8182

Specialties & licenses 1

Addresses

Other names 1

• ST VINCENT HEALTHCARE Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316264567. Details of each certification follow.

• CCN 555119 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 555119

Legal name

ST VINCENT HEALTHCARE LLC

Doing business as

ST VINCENT HEALTHCARE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Dec 17, 1979

Last certification

Oct 18, 2024

Beds

78

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

Feb 25, 2010 in CA

Enrollment address

1810 N Fair Oaks Ave
Pasadena, CA 91103-1619

Nursing home name

SAINT VINCENT HEALTHCARE

Listed as

Saint Vincent HealthcareCCN 555119 · All quality measures

Overall star rating

3 of 5

Health inspections

4 of 5

Staffing

3 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Dec 17, 1979

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

7872.8 residents per day on average

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 17

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

Owners & managing parties with NPI records 1

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

• Syed M Hossain, M.D. .

  • Family Medicine Physician
  • Compton, CA
  • NPI 1083787907

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 2

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

• Keivan Golchini, MD

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1528074812

  Nursing home

  Care Compare affiliation
• Syed M Hossain, M.D. .

  • Family Medicine Physician
  • Compton, CA
  • NPI 1083787907

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1316264567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 N FAIR OAKS AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911031619",
            "telephone_number": "626-398-8182",
            "fax_number": "626-398-0473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 N FAIR OAKS AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911031619",
            "telephone_number": "626-398-8182",
            "fax_number": "626-398-0473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST VINCENT HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-28",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "CIPRIANO",
        "authorized_official_title_or_position": "ADMINISTRATOR/MEMBER",
        "authorized_official_telephone_number": "626-398-8182",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "970000080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST VINCENT HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Pasadena, CA
• Providers in Pasadena, 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 Apr 23, 2014; 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.