Garden Park Care Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GARDEN PARK CARE CENTER LLC

Doing business as

Garden Park Care Center

Practice address

12681 Haster St
Garden Grove, CA 92840

Phone

(714) 971-2153

Fax

(714) 750-6913

NPI assigned

Sep 16, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• Garden Park Care Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1477659399. Details of each certification follow.

• CCN 555667 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 555667

Legal name

GARDEN PARK CARE CENTER, LLC

Doing business as

GARDEN PARK CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

May 16, 1996

Last certification

Jun 3, 2025

Beds

124

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Sun Mar Healthcare

Organization structure

LLCProprietary

Incorporated

Feb 1, 1995 in CA

Enrollment address

12681 Haster St
Garden Grove, CA 92840-6040

Nursing home name

GARDEN PARK CARE CENTER

Affiliated entity

DAVID JOHNSON

Listed as

Garden Park Care CenterCCN 555667 · All quality measures

Overall star rating

4 of 5

Health inspections

3 of 5

Staffing

3 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

May 16, 1996

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

124116.6 residents per day on average

Chain

David Johnson48 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

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.

Owners & managing parties with NPI records 1

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

• Asaad Hakim, M.D.

  • Internal Medicine Physician
  • Garden Grove, CA
  • NPI 1477504082

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 11

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

• Minh Canh DO, M.D.

  • Nephrology Physician
  • Santa Ana, CA
  • NPI 1619964368

  Nursing home

  Care Compare affiliation
• Yousef W Ireifej, M.D.

  • Family Medicine Physician
  • Garden Grove, CA
  • NPI 1962693598

  Nursing home

  Care Compare affiliation
• Sanjivan Singh Kohli, MD

  • Pulmonary Disease Physician
  • San Juan Capistrano, CA
  • NPI 1801129663

  Nursing home

  Care Compare affiliation
• Chidao L Nguyen, DO

  • Hospitalist Physician
  • Westminster, CA
  • NPI 1780850198

  Nursing home

  Care Compare affiliation
• Dat Q Nguyen, MD

  • Internal Medicine Physician
  • Hawthorne, CA
  • NPI 1720092315

  Nursing home

  Care Compare affiliation
• Thuy Nguyen, M.D.

  • Family Medicine Physician
  • Santa Ana, CA
  • NPI 1891015871

  Nursing home

  Care Compare affiliation
• Vuong Huu Nguyen, M.D.

  • Internal Medicine Physician
  • Westminster, CA
  • NPI 1093701690

  Nursing home

  Care Compare affiliation
• Thao P Phung, MD

  • Hospitalist Physician
  • Tustin, CA
  • NPI 1699909622

  Nursing home

  Care Compare affiliation
• Kiet A. T. Ton, MD

  • Family Medicine Physician
  • Westminster, CA
  • NPI 1558326371

  Nursing home

  Care Compare affiliation
• Roger Nguyen Tran, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Laguna Hills, CA
  • NPI 1649234949

  Nursing home

  Care Compare affiliation
• Jason Satria Wiguna, DO

  • Family Medicine Physician
  • Garden Grove, CA
  • NPI 1346731767

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477659399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 SATURN ST STE 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": "12681 HASTER ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "92840",
            "telephone_number": "714-971-2153",
            "fax_number": "714-750-6913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN PARK CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-08-22",
        "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": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55667F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garden Park Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Garden Grove Surgical Center Inc
• Garden Grove Unified School District
• Garden Grove Unified School District
• Garden Grove Usd
• Garden Grove Women's Health Specialists, Inc.
• Gardenwest Dental
• Barbara L Gardiner, MFT
• D'Angelo Gardner
• Samantha Garduno
• Garfield Beach CVS LLC (CVS Pharmacy #16046)

• Skilled Nursing Facility in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.