Active NPI
Cerritos Vista Healthcare Center LLC
Doing business as Cerritos Vista Healthcare Center
- Skilled Nursing Facility
- Bellflower, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Oct 19, 1973
- Medicare certification status
- Active
- Certified beds
- 140
- Chain
- Longwood Management Corporation
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 |
|---|---|---|---|
| 05D0553041 | Cerritos Vista Healthcare Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Aaron Friedman | 5% Or Greater Indirect Ownership Interest | Jun 30, 2023 | 20% |
| Trustee of the SNF | Jun 30, 2023 | ||
| Adp of the SNF | Jun 30, 2023 | ||
| Adp of the SNF | Jun 30, 2023 | ||
| Adp of the SNF | Jun 30, 2023 | ||
| Adp of the SNF | Jun 30, 2023 | ||
| Adp of the SNF | Jun 30, 2023 | ||
| Libby Lehmann | 5% Or Greater Indirect Ownership Interest | Jun 30, 2023 | 20% |
| Trustee of the SNF | Jun 30, 2023 | ||
| Rachel Klavan | 5% Or Greater Indirect Ownership Interest | Jun 30, 2023 | 20% |
| Trustee of the SNF | Jun 30, 2023 | ||
| Lehmann Family 1991 Trust | 5% Or Greater Direct Ownership Interest | Jun 30, 2023 | 20% |
| Adp of the SNF | Jun 30, 2023 | ||
| Shannon Ayers | Operational/Managerial Control | Oct 3, 2022 | |
| Adp of the SNF | Oct 3, 2022 | ||
| The Klavan Family Trust | 5% Or Greater Direct Ownership Interest | Jun 30, 2023 | 20% |
| Adp of the SNF | Jun 30, 2023 | ||
| Joshua Klavan | Operational/Managerial Control | Dec 1, 2022 | |
| Adp of the SNF | Nov 16, 1986 | ||
| Adp of the SNF | Jun 30, 2023 | ||
| Shmuel Notis | 5% Or Greater Indirect Ownership Interest | Jun 30, 2023 | 20% |
| Trustee of the SNF | Jun 30, 2023 | ||
| Adp of the SNF | Jun 30, 2023 | ||
| Maria D Johnston | Operational/Managerial Control | Aug 1, 2023 | |
| Adp of the SNF | Aug 1, 2023 | ||
| Kristoffer T Chin | Operational/Managerial Control | Dec 4, 2024 | |
| Adp of the SNF | Dec 4, 2024 | ||
| Longwood Management LLC | Adp of the SNF | Jan 1, 2023 | |
| The Tzippy Friedman Notis 1990 Trust | 5% Or Greater Direct Ownership Interest | Jun 30, 2023 | 20% |
| Adp of the SNF | Jun 30, 2023 | ||
| Ira D Friedman 1991 Trust | 5% Or Greater Direct Ownership Interest | Jun 30, 2023 | 20% |
| Adp of the SNF | Jun 30, 2023 | ||
| Adp of the SNF | Apr 1, 2024 | ||
| Adp of the SNF | Jun 30, 2023 | ||
| Friedman Family Trust | 5% Or Greater Direct Ownership Interest | Jun 30, 2023 | 20% |
| Adp of the SNF | Jun 30, 2023 | ||
| Woodruff Land Healthcare Centre LLC | Adp of the SNF | Jun 30, 2023 | |
| Ira David Friedman | 5% Or Greater Indirect Ownership Interest | Jun 30, 2023 | 20% |
| Operational/Managerial Control | Jun 30, 2023 | ||
| Managing Control - Governing Body | Jun 30, 2025 | ||
| Trustee of the SNF | Jun 30, 2023 | ||
| Adp of the SNF | Jun 30, 2023 | ||
| Zaid Pervaiz | 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.
-
- Family Medicine Physician
- Paramount, CA
- NPI 1790342764
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 24
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Sherman Oaks Health and Rehabilitation Center
- Skilled Nursing Facility
- Sherman Oaks, CA
- NPI 1316018310
Friedman Family Trust, Ira D Friedman 1991 Trust, Lehmann Family 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust
-
dba Mission Hospice of the Inland Empire
- Community Based Hospice Care Agency
- Upland, CA
- NPI 1700280328
Friedman Family Trust, Ira D Friedman 1991 Trust, Lehmann Family 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust
-
dba Alden Terrace Convalescent Hospital
- Skilled Nursing Facility
- Los Angeles, CA
- NPI 1568544781
Friedman Family Trust, Ira D Friedman 1991 Trust, Lehmann Family 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust
-
dba Alameda Care Center
- Skilled Nursing Facility
- Burbank, CA
- NPI 1316019482
Friedman Family Trust, Ira D Friedman 1991 Trust, Lehmann Family 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust
-
dba Highland Springs Care Center
- Skilled Nursing Facility
- Beaumont, CA
- NPI 1376963785
Friedman Family Trust, Ira D Friedman 1991 Trust, Lehmann Family 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust
-
dba Burbank Healthcare and Rehabilitation Center
- Skilled Nursing Facility
- Burbank, CA
- NPI 1518036060
Friedman Family Trust, Ira D Friedman 1991 Trust, Lehmann Family 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust
-
dba West Hills Health and Rehabilitation Center
- Skilled Nursing Facility
- Canoga Park, CA
- NPI 1487734935
Friedman Family Trust, Ira D Friedman 1991 Trust, Lehmann Family 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust
-
dba Chino Valley Healthcare Center
- Skilled Nursing Facility
- Pomona, CA
- NPI 1558441022
Friedman Family Trust, Ira D Friedman 1991 Trust, Lehmann Family 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust
-
dba Sherman Village Healthcare Center
- Skilled Nursing Facility
- N Hollywood, CA
- NPI 1790854180
Friedman Family Trust, Ira D Friedman 1991 Trust, Lehmann Family 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust
-
dba Colonial Care Center
- Skilled Nursing Facility
- Long Beach, CA
- NPI 1639257165
Friedman Family Trust, Ira D Friedman 1991 Trust, Lehmann Family 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust
-
dba Covina Rehabilitation Center
- Skilled Nursing Facility
- Covina, CA
- NPI 1992885958
Friedman Family Trust, Ira D Friedman 1991 Trust, Lehmann Family 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust
-
dba Eastland Subacute and Rehabilitation Center
- Skilled Nursing Facility
- El Monte, CA
- NPI 1265804397
Friedman Family Trust, Ira D Friedman 1991 Trust, Lehmann Family 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust
Practitioners & affiliated clinicians
Affiliated clinicians 5
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- San Jacinto, CA
- NPI 1821036229
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2017; 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.