Organization Active NPI

Sun Mar Healthcare, Inc

Doing business as Sun Mar Nursing Center

  • Skilled Nursing Facility
  • Anaheim, CA
National Provider Identifier
1386740207
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
060000150 Issued in CA
Legal business name
SUN MAR HEALTHCARE, INC
Doing business as
Sun Mar Nursing Center
Practice address
1720 W Orange Avenue
Anaheim, CA 92804
Phone
(714) 776-1720
Fax
(714) 776-1154
NPI assigned
Sep 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 060000150 CA Primary

Addresses

Primary practice location

1720 W Orange Avenue
Anaheim, CA 92804

Mailing address

3050 Saturn Street
Suite #201
Brea, CA 92821-6278
Phone (714) 577-3880

Other identifiers 1

IdentifierTypeStateIssuer
LTC55266FMedicaidCA

Other names 1

  • Sun Mar Nursing Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110317000182 CA Part A Provider - Skilled Nursing Facility 2163604851 Practice locations: Anaheim, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386740207. Details of each certification follow.

Skilled nursing facility certification: CCN 555266

Legal name
SUN MAR HEALTHCARE, INC
Doing business as
SUN MAR NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 4, 1987
Last certification
Jul 17, 2024
Beds
69
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Enrollment address
1720 W Orange Ave
Anaheim, CA 92804-2638
Nursing home name
SUN MAR NURSING CENTER
Affiliated entity
DAVID JOHNSON

Care Compare: Nursing home

Medicare Care Compare
Listed as
Sun Mar Nursing CenterCCN 555266 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 4, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6960.4 residents per day on average
Chain
David Johnson48 facilities in the chain

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
05D0876333Sun-Mar Nursing Center1720 Orange Ave, Anaheim, CA 92804Certificate of waiverSep 15, 2027

National Provider Directory

National Provider Directory

Locations

1720 W Orange Ave
Anaheim, CA 92804
Phone (714) 776-1720

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
Sun Mar Management Services Organization, Brea, CA Corporation, For-profit Operational/Managerial Control Oct 12, 1989
Adp of the SNF Oct 12, 1989
Serene Park Individual Operational/Managerial Control Jul 25, 2022
Adp of the SNF Jul 25, 2022
Sun Mar Healthcare, Inc Organization, Brea, CA Created for acquisition, Corporation, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 1, 1987 100%
Operational/Managerial Control May 1, 1987
Adp of the SNF May 1, 1987
Micheal D Oxford Individual Operational/Managerial Control Jan 3, 2022
Adp of the SNF Jan 3, 2022
Frank a Johnson Individual 5% Or Greater Indirect Ownership Interest Apr 6, 1987 50%
Corporate DirectorDirector Apr 6, 1987
Operational/Managerial Control Apr 6, 1987
Adp of the SNF Apr 6, 1987
Ferszt Investments, a California Corporation Organization, Los Angeles, CA Corporation, Holding company, For-profit Adp of the SNF May 3, 2016
Chaewon Song Individual Operational/Managerial Control Jan 1, 2007
Adp of the SNF Jan 1, 2007
Julee Park Individual Operational/Managerial Control Nov 1, 2009
Adp of the SNF Nov 1, 2009
Joshua Kochek Individual Operational/Managerial Control Apr 1, 2022
Adp of the SNF Apr 1, 2022
Eli Marmur Individual 5% Or Greater Indirect Ownership Interest Apr 6, 1987 50%
Adrian Dehghanmanesh Individual Operational/Managerial Control Jun 1, 2021
Adp of the SNF Jun 1, 2021
Mary Farrales Individual Operational/Managerial Control Jan 1, 2023
Adp of the SNF Jan 1, 2023
Cibc Bank USA Organization, Chicago, IL Corporation, Financial institution, For-profit Adp of the SNF Apr 8, 2025

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 6

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1386740207",
    "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": "1720 W ORANGE AVENUE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92804",
            "telephone_number": "714-776-1720",
            "fax_number": "714-776-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN MAR HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2008-06-17",
        "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": "060000150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55266F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sun Mar Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.