Organization Active NPI

Cerritos Vista Healthcare Center LLC

Doing business as Cerritos Vista Healthcare Center

  • Skilled Nursing Facility
  • Bellflower, CA
National Provider Identifier
1407373350
Registry record updated Aug 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CERRITOS VISTA HEALTHCARE CENTER LLC
Doing business as
Cerritos Vista Healthcare Center
Practice address
17836 Woodruff Ave
Bellflower, CA 90706-7029
Phone
(562) 925-8457
Fax
(562) 461-7307
NPI assigned
Aug 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2017

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

Authorized official

Name
David Friedman
Title
Managing Member
Phone
(213) 389-6900

Specialties & licenses 1

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

Addresses

Primary practice location

17836 Woodruff Ave
Bellflower, CA 90706-7029

Mailing address

4032 Wilshire Blvd FL 6
Los Angeles, CA 90010-3425
Phone (213) 389-6900

Other names 1

  • Cerritos Vista Healthcare Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171219003324 CA Part A Provider - Skilled Nursing Facility 7810255940 Practice locations: Bellflower, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407373350. Details of each certification follow.

Skilled nursing facility certification: CCN 056405

Legal name
CERRITOS VISTA HEALTHCARE CENTER LLC
Doing business as
CERRITOS VISTA HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 19, 1973
Last certification
Mar 20, 2025
Beds
140
Ownership / control type
Corporation
Multi-facility organization
LONGWOOD MANAGEMENT
Organization structure
LLCProprietary
Enrollment address
17836 Woodruff Ave
Bellflower, CA 90706-7029
Nursing home name
CERRITOS VISTA HEALTHCARE CENTER
Affiliated entity
LONGWOOD MANAGEMENT CORPORATION

Care Compare: Nursing home

Medicare Care Compare
Listed as
Cerritos Vista Healthcare CenterCCN 056405 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Oct 19, 1973
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
140133.2 residents per day on average
Chain
Longwood Management Corporation38 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
05D0553041Cerritos Vista Healthcare Center17836 Woodruff Ave, Bellflower, CA 90706Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 25

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

NameRoleSinceShare
Aaron Friedman Individual 5% Or Greater Indirect Ownership Interest Jun 30, 2023 20%
Trustee of the SNF Jun 30, 2023
Adp of the SNF Jun 30, 2023
Organization, Portland, OR LLC, For-profit Adp of the SNF Jun 30, 2023
Organization, Chicago, IL LLC, For-profit Adp of the SNF Jun 30, 2023
Organization, Portland, OR Corporation, Holding company, For-profit Adp of the SNF Jun 30, 2023
Organization, Portland, OR LLC, For-profit Adp of the SNF Jun 30, 2023
Libby Lehmann Individual 5% Or Greater Indirect Ownership Interest Jun 30, 2023 20%
Trustee of the SNF Jun 30, 2023
Rachel Klavan Individual 5% Or Greater Indirect Ownership Interest Jun 30, 2023 20%
Trustee of the SNF Jun 30, 2023
Lehmann Family 1991 Trust Organization, Los Angeles, CA 5% Or Greater Direct Ownership Interest Jun 30, 2023 20%
Adp of the SNF Jun 30, 2023
Shannon Ayers Individual Operational/Managerial Control Oct 3, 2022
Adp of the SNF Oct 3, 2022
The Klavan Family Trust Organization, Los Angeles, CA 5% Or Greater Direct Ownership Interest Jun 30, 2023 20%
Adp of the SNF Jun 30, 2023
Joshua Klavan Individual Operational/Managerial Control Dec 1, 2022
Adp of the SNF Nov 16, 1986
Organization, Chicago, IL LLC, For-profit Adp of the SNF Jun 30, 2023
Shmuel Notis Individual 5% Or Greater Indirect Ownership Interest Jun 30, 2023 20%
Trustee of the SNF Jun 30, 2023
Individual Adp of the SNF Jun 30, 2023
Maria D Johnston Individual Operational/Managerial Control Aug 1, 2023
Adp of the SNF Aug 1, 2023
Kristoffer T Chin Individual Operational/Managerial Control Dec 4, 2024
Adp of the SNF Dec 4, 2024
Longwood Management LLC Organization, Los Angeles, CA For-profit Adp of the SNF Jan 1, 2023
The Tzippy Friedman Notis 1990 Trust Organization, Los Angeles, CA 5% Or Greater Direct Ownership Interest Jun 30, 2023 20%
Adp of the SNF Jun 30, 2023
Ira D Friedman 1991 Trust Organization, Los Angeles, CA 5% Or Greater Direct Ownership Interest Jun 30, 2023 20%
Adp of the SNF Jun 30, 2023
Organization, Portland, OR LLC, For-profit Adp of the SNF Apr 1, 2024
Organization, Portland, OR LLC Adp of the SNF Jun 30, 2023
Friedman Family Trust Organization, Los Angeles, CA 5% Or Greater Direct Ownership Interest Jun 30, 2023 20%
Adp of the SNF Jun 30, 2023
Woodruff Land Healthcare Centre LLC Organization, Los Angeles, CA LLC, For-profit Adp of the SNF Jun 30, 2023
Ira David Friedman Individual 5% Or Greater Indirect Ownership Interest Jun 30, 2023 20%
Operational/Managerial Control Jun 30, 2023
Managing Control - Governing BodyPresident Jun 30, 2025
Trustee of the SNF Jun 30, 2023
Adp of the SNF Jun 30, 2023
Zaid Pervaiz Individual Adp of the SNF Jan 1, 2013

Owners & managing parties with NPI records 1

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

Facilities with the same owner 24

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

View all 24

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1503360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503360000000",
    "number": "1407373350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4032 WILSHIRE BLVD FL 6",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103425",
            "telephone_number": "213-389-6900",
            "fax_number": "213-368-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17836 WOODRUFF AVE",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907067029",
            "telephone_number": "562-925-8457",
            "fax_number": "562-461-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERRITOS VISTA HEALTHCARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-22",
        "last_updated": "2017-08-22",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "213-389-6900"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cerritos Vista Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellflower, CA

Sources for this page

Verify at the official NPI Registry.