Active NPI
California Post Acute LLC
Doing business as California Post Acute
- Skilled Nursing Facility
- Los Angeles, CA
National Provider Identifier
1356895130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- CALIFORNIA POST ACUTE LLC
- Doing business as
- California Post Acute
- Practice address
- 909 S Lake St
Los Angeles, CA 90006-2113 - Phone
- (310) 763-0993
- Fax
- (213) 385-0539
- NPI assigned
- Aug 9, 2016
- Last updated
- May 28, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dov Jacobs
- Title
- Chief Executive
- Phone
- (213) 369-9941
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
909 S Lake St
Los Angeles, CA 90006-2113
Mailing address
909 S Lake St
Los Angeles, CA 90006
Phone (310) 763-0993
Other names 1
- California Post Acute
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161111000295 | CA | Part A Provider - Skilled Nursing Facility | 0446539688 | Practice locations: Los Angeles, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1356895130. Details of each certification follow.
Skilled nursing facility certification: CCN 055461
- Legal name
- CALIFORNIA POST ACUTE LLC
- Doing business as
- CALIFORNIA POST ACUTE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 1980
- Last certification
- Jul 5, 2024
- Beds
- 66
- Ownership / control type
- Individual
- Multi-facility organization
- Independence Healthcare Management
- Organization structure
- LLC
- Incorporated
- Dec 29, 2015 in CA
- Enrollment address
- 909 S Lake St
Los Angeles, CA 90006-2113 - Nursing home name
- CALIFORNIA POST ACUTE
- Affiliated entity
- SERRANO GROUP
Care Compare: Nursing home
Medicare Care Compare- Listed as
- California Post Acute
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Jul 1, 1980
- Medicare certification status
- Active
- Certified beds
- 66
- Chain
- Serrano Group
- Special focus status
- SFF Candidate
- Penalties (3 years)
- 6
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Dov E Jacobs | 5% Or Greater Direct Ownership Interest | Jun 9, 2016 | 50% |
| Corporate Officer | Jun 9, 2016 | 100% | |
| W-2 Managing Employee | Sep 27, 2016 | ||
| Benjamin Landa | 5% Or Greater Direct Ownership Interest | Jun 9, 2016 | 50% |
| Corporate Officer | Jun 9, 2016 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Anatomic Pathology & Clinical Pathology Physician
- Carson, CA
- NPI 1114140233
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779926400000",
"number": "1356895130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 S LAKE ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90006",
"telephone_number": "310-763-0993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 S LAKE ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900062113",
"telephone_number": "310-763-0993",
"fax_number": "213-385-0539"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CALIFORNIA POST ACUTE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-09",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A",
"authorized_official_last_name": "JACOBS",
"authorized_official_first_name": "DOV",
"authorized_official_title_or_position": "CHIEF EXECUTIVE",
"authorized_official_telephone_number": "213-369-9941"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "California Post Acute",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "California Post Acute",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.