Paramount Convalescent Group Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PARAMOUNT CONVALESCENT GROUP INC

Doing business as

Paramount Convalescent Hospital

Practice address

8558 E Rosecrans Avenue
Paramount, CA 90723

Phone

(310) 634-6877

Fax

(562) 634-6022

NPI assigned

Sep 16, 2006

Last updated

Aug 22, 2020By 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. Mark A Mortensen

Title

Sr VP Finance

Phone

(714) 577-3880

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Paramount Convalescent Hospital 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 1346346277. Details of each certification follow.

• CCN 056446 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 056446

Legal name

PARAMOUNT CONVALESCENT GROUP INC

Doing business as

PARAMOUNT CONVALESCENT HOSPITAL

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Oct 7, 1974

Last certification

Oct 4, 2024

Beds

59

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Sun Mar Management

Organization structure

CorporationProprietary

Incorporated

Sep 8, 1988 in CA

Enrollment address

8558 Rosecrans Ave
Paramount, CA 90723-3644

Nursing home name

PARAMOUNT CONVALESCENT HOSP.

Affiliated entity

DAVID JOHNSON

Listed as

Paramount Convalescent Hosp.CCN 056446 · All quality measures

Overall star rating

3 of 5

Health inspections

2 of 5

Staffing

4 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Oct 7, 1974

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5950.8 residents per day on average

Chain

David Johnson48 facilities in the chain

Penalties (3 years)

1Fines totaling $34,613

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 16

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.

• Eli E Marmur, M.A., R.P.T.

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1720199664

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• Malvin Yan, D.O.

  • Nephrology Physician
  • South Gate, CA
  • NPI 1033153101

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 1

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

• Malvin Yan, D.O.

  • Nephrology Physician
  • South Gate, CA
  • NPI 1033153101

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346346277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 SATURN STREET",
            "address_2": "SUITE #201",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216278",
            "telephone_number": "714-577-3880",
            "fax_number": "714-577-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8558 E ROSECRANS AVENUE",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "90723",
            "telephone_number": "310-634-6877",
            "fax_number": "562-634-6022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAMOUNT CONVALESCENT GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORTENSEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SR VP FINANCE",
        "authorized_official_telephone_number": "714-577-3880",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC06446F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paramount Convalescent Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Paramount, CA
• Providers in Paramount, 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 Aug 22, 2020; 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.