Pasadena Palace Tcu LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PASADENA PALACE TCU LLC

Practice address

716 S Fair Oaks Ave
Pasadena, CA 91105-2618

Phone

(626) 737-0560

NPI assigned

Jan 10, 2025

Last updated

Jan 10, 2025By 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

Chonoch Gewirtz

Title

Cfo

Phone

(818) 853-5760

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336959311. Details of each certification follow.

• CCN 055341 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 055341

Legal name

PASADENA PALACE TCU LLC

Doing business as

GEM TCU

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 1, 1972

Last certification

Nov 1, 2024

Beds

75

Ownership / control type

Limited Liability Corporation

Multi-facility organization

IEP Consulting Company

Organization structure

LLCProprietary

Enrollment address

716 S Fair Oaks Ave
Pasadena, CA 91105-2618

Nursing home name

GEM TCU

Affiliated entity

ABRAHAM BAK & MENACHEM GASTWIRTH

Listed as

Gem TcuCCN 055341 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

2 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Apr 1, 1972

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

7565.9 residents per day on average

Chain

Abraham Bak & Menachem Gastwirth18 facilities in the chain

Penalties (3 years)

1Fines totaling $27,808

Ownership change

Changed ownership in the last 12 months

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 30

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 2

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

• Rachel Deena Bak, M.D.

  • Dermatology Physician
  • Burbank, CA
  • NPI 1447495031

  Adp of the SNF

  CMS ownership
• Lori J. Wynstock, M.D.

  • Internal Medicine Physician
  • Pasadena, CA
  • NPI 1194764589

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 4

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

• Elisa C Alvarado, M.D.

  • Internal Medicine Physician
  • San Marino, CA
  • NPI 1891979746

  Nursing home

  Care Compare affiliation
• Manvel Kondradzhyan, MD

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1568988590

  Nursing home

  Care Compare affiliation
• Katarzyna Twardowska, MD

  • Internal Medicine Physician
  • Anaheim, CA
  • NPI 1790881795

  Nursing home

  Care Compare affiliation
• Lori J. Wynstock, M.D.

  • Internal Medicine Physician
  • Pasadena, CA
  • NPI 1194764589

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1336959311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6442 COLDWATER CANYON AVE STE 100",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916061191",
            "telephone_number": "818-853-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 S FAIR OAKS AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052618",
            "telephone_number": "626-737-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASADENA PALACE TCU LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-10",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A",
        "authorized_official_last_name": "GEWIRTZ",
        "authorized_official_first_name": "CHONOCH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "818-853-5760"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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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 Jan 10, 2025; 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.