Active NPI
Sun Mar Healthcare, Inc
Doing business as Sun Mar Nursing Center
- Skilled Nursing Facility
- Anaheim, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 060000150
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LTC55266F | Medicaid | CA |
Other names 1
- Sun Mar Nursing Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jun 4, 1987
- Medicare certification status
- Active
- Certified beds
- 69
- Chain
- David Johnson
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0876333 | Sun-Mar Nursing Center | Certificate of waiver | Sep 15, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Sun Mar Management Services | Operational/Managerial Control | Oct 12, 1989 | |
| Adp of the SNF | Oct 12, 1989 | ||
| Serene Park | Operational/Managerial Control | Jul 25, 2022 | |
| Adp of the SNF | Jul 25, 2022 | ||
| Sun Mar Healthcare, Inc | 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 | Operational/Managerial Control | Jan 3, 2022 | |
| Adp of the SNF | Jan 3, 2022 | ||
| Frank a Johnson | 5% Or Greater Indirect Ownership Interest | Apr 6, 1987 | 50% |
| Corporate Director | Apr 6, 1987 | ||
| Operational/Managerial Control | Apr 6, 1987 | ||
| Adp of the SNF | Apr 6, 1987 | ||
| Ferszt Investments, a California Corporation | Adp of the SNF | May 3, 2016 | |
| Chaewon Song | Operational/Managerial Control | Jan 1, 2007 | |
| Adp of the SNF | Jan 1, 2007 | ||
| Julee Park | Operational/Managerial Control | Nov 1, 2009 | |
| Adp of the SNF | Nov 1, 2009 | ||
| Joshua Kochek | Operational/Managerial Control | Apr 1, 2022 | |
| Adp of the SNF | Apr 1, 2022 | ||
| Eli Marmur | 5% Or Greater Indirect Ownership Interest | Apr 6, 1987 | 50% |
| Adrian Dehghanmanesh | Operational/Managerial Control | Jun 1, 2021 | |
| Adp of the SNF | Jun 1, 2021 | ||
| Mary Farrales | Operational/Managerial Control | Jan 1, 2023 | |
| Adp of the SNF | Jan 1, 2023 | ||
| Cibc Bank USA | 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.
-
- Physical Therapist
- Los Angeles, CA
- NPI 1720199664
5% Or Greater Indirect Ownership Interest
-
- Geriatric Medicine (Internal Medicine) Physician
- Garden Grove, CA
- NPI 1972589687
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 6
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Community Care and Rehab Center
- Skilled Nursing Facility
- Riverside, CA
- NPI 1700186590
Sun Mar Management Services
-
dba Sunset Manor Convalescent Hospital
- Skilled Nursing Facility
- El Monte, CA
- NPI 1942306865
Sun Mar Management Services
-
dba Gordon Lane Care Center
- Skilled Nursing Facility
- Fullerton, CA
- NPI 1205932126
Sun Mar Management Services
-
dba Heritage Manor Healthcare
- Skilled Nursing Facility
- Monterey Park, CA
- NPI 1457457384
Sun Mar Management Services
-
dba Mission Care Center
- Skilled Nursing Facility
- Riverside, CA
- NPI 1891950267
Sun Mar Management Services
-
dba Sierra View Care Center
- Skilled Nursing Facility
- Baldwin Park, CA
- NPI 1356506729
Sun Mar Management Services
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.
-
- Physical Therapist
- Los Angeles, CA
- NPI 1720199664
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Garden Grove, CA
- NPI 1972589687
Nursing home
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
- Dima Summakia
- Jaelene Miracle Summerall
- Summerville at Fairwood Manor, LLC (Emeritus at Fairwood Manor)
- Summit Clinical Laboratory, Inc.
- Sun Eun Enterprise, Inc. (Pacific Family Hospice)
- Sun Medical Corporation (Sun Medical)
- Sun Medical Group, Inc. (AFC Urgent Care Anaheim)
- Chien Sun, M.D.
- Hong Sun
- James Sun
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.