Villa del Rio, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

VILLA DEL RIO, INC.

Practice address

7002 Gage Ave
Bell Gardens, CA 90201-2014

Phone

(562) 927-6586

Fax

(562) 285-9633

NPI assigned

Jan 5, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Vicki P Rollins, RN

Title

Vice-President

Phone

(562) 426-6141

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Villa Del Rio Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Skilled nursing facility certification: CCN 555781

Legal name

VILLA DEL RIO, INC

Doing business as

VILLA DEL RIO

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 2002

Last certification

Apr 24, 2025

Beds

183 (12 certified)

Ownership / control type

Corporation

Organization structure

CorporationProprietary

Incorporated

Dec 12, 2017 in CA

Enrollment address

7002 Gage Ave
Bell Gardens, CA 90201-2014

Listed as

Villa del RioCCN 555781

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

3 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jan 1, 2002

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

12163.0 residents per day on average

Special focus status

SFF Candidate

Penalties (3 years)

5Fines totaling $147,028

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

Locations

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 3

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

• Lakshman D Makandura, M.D

  • Internal Medicine Physician
  • West Covina, CA
  • NPI 1578614657

  Nursing home

  Care Compare affiliation
• Cesar Palana II, MD

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1467712604

  Nursing home

  Care Compare affiliation
• Mark Noel Samonte, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Carson, CA
  • NPI 1114140233

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1366959876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7002 GAGE AVE",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902012014",
            "telephone_number": "562-927-6586",
            "fax_number": "562-285-9633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7002 GAGE AVE",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902012014",
            "telephone_number": "562-927-6586",
            "fax_number": "562-285-9633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7004 Gage Ave",
            "address_purpose": "LOCATION",
            "city": "Bell Gardens",
            "state": "CA",
            "postal_code": "902012014",
            "country_code": "US",
            "telephone_number": "562-426-6141 x202",
            "fax_number": "562-285-9633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VILLA DEL RIO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-05",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "ROLLINS",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "562-426-6141",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "940000052",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Villa Del Rio Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolina Vazquez, M.D.
• Leopoldo Velasco Jr., N.P.
• Anai Velasquez-Ramos
• Martha E. Velasquez, IMFT
• Aylin Velazquez
• Villa del Rio, Inc.
• Visionary Retail Management Ca Inc.
• Wellness Pharmacy Inc
• Shang Xie
• Analicia Ybarra, LCSW

• All providers in Bell Gardens, CA
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.