Organization Active NPI

Ocean Park Healthcare LLC

Doing business as Ocean Park Healthcare

  • Skilled Nursing Facility
  • Santa Monica, CA
National Provider Identifier
1376128322
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
OCEAN PARK HEALTHCARE LLC
Doing business as
Ocean Park Healthcare
Practice address
2828 Pico Blvd
Santa Monica, CA 90405-1920
Phone
(310) 450-7694
NPI assigned
Mar 11, 2021
Last updated
Mar 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Authorized official

Name
Chonoch Gewirtz
Title
Member
Phone
(917) 842-8361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2828 Pico Blvd
Santa Monica, CA 90405-1920

Mailing address

2828 Pico Blvd
Santa Monica, CA 90405-1920

Other names 1

  • Ocean Park Healthcare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210810002179 CA Part A Provider - Skilled Nursing Facility 9133523392 Practice locations: Santa Monica, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376128322. Details of each certification follow.

Skilled nursing facility certification: CCN 555786

Legal name
OCEAN PARK HEALTHCARE, LLC
Doing business as
OCEAN PARK HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 8, 2002
Last certification
May 4, 2025
Beds
41
Ownership / control type
Limited Liability Corporation
Multi-facility organization
IEP
Organization structure
LLCProprietary
Enrollment address
2828 Pico Blvd
Santa Monica, CA 90405-1920
Nursing home name
OCEAN PARK HEALTHCARE
Affiliated entity
ABRAHAM BAK & MENACHEM GASTWIRTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Ocean Park HealthcareCCN 555786 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 8, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4138.3 residents per day on average
Chain
Abraham Bak & Menachem Gastwirth18 facilities in the chain
Penalties (3 years)
1Fines totaling $12,735

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0928555Ocean Park Healthcare2828 Pico Boulevard, Santa Monica, CA 90405Certificate of waiverMay 20, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Chonoch Gewirtz Individual 5% Or Greater Direct Ownership Interest Mar 1, 2021 5%
Adp of the SNF Mar 1, 2021
Keino a Rutherford Individual Operational/Managerial Control Sep 1, 2025
Adp of the SNF Sep 1, 2025
Mgaz Consulting LLC Organization, North Hollywood, CA LLC, Consulting firm Adp of the SNF Dec 27, 2021
Abe and Rachel Bak Family Trust Organization, North Hollywood, CA Owned by another organization or individual Indirect Ownership Interest Mar 1, 2021 4.84%
Rachel Deena Bak Individual 5% Or Greater Indirect Ownership Interest Mar 1, 2021 2.42%
Kenneth Lehmann Individual 5% Or Greater Direct Ownership Interest May 1, 2021 25.33%
Operational/Managerial Control Mar 1, 2021
Adp of the SNF Mar 1, 2021
Abraham Bak Individual 5% Or Greater Direct Ownership Interest Mar 1, 2021 20.5%
5% Or Greater Indirect Ownership Interest May 1, 2023 2.42%
Operational/Managerial Control Mar 1, 2021
Adp of the SNF Mar 1, 2021
Am Holdco, LLC Organization, North Hollywood, CA LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Mar 1, 2021 9.67%
Memphis Montag Individual Operational/Managerial Control Mar 1, 2023
Adp of the SNF Mar 1, 2023
Abak Consulting LLC Organization, North Hollywood, CA LLC, Consulting firm Adp of the SNF Dec 27, 2021
Aaron Moas Individual 5% Or Greater Direct Ownership Interest Mar 1, 2021 14%
Avishai Oscherowitz Individual 5% Or Greater Direct Ownership InterestMember Mar 1, 2021 5%
Menachem Gastwirth Individual 5% Or Greater Direct Ownership Interest Mar 1, 2021 20.5%
5% Or Greater Indirect Ownership Interest May 1, 2023 4.84%
Operational/Managerial Control Mar 1, 2021
Managing Control - Governing BodyManager Mar 6, 2020
Adp of the SNF Mar 1, 2021

Owners & managing parties with NPI records 2

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

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1376128322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 PICO BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904051920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 PICO BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904051920",
            "telephone_number": "310-450-7694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN PARK HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "GEWIRTZ",
        "authorized_official_first_name": "CHONOCH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "917-842-8361"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ocean Park Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.