Bloomfield West Inc

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

550001863 Issued in CA

Legal business name

BLOOMFIELD WEST INC

Practice address

3333 E Imperial Hwy
Lynwood, CA 90262-3305

Phone

(310) 638-6691

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Ana Maria Candelas

Title

Ar Systems Manager

Phone

(949) 740-3454

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 2

• Bloomfield West Inc Doing business as
• Marlinda West Nursing Home Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G679

Legal name

BLOOMFIELD WEST, INC

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Feb 9, 2012

Last certification

Mar 27, 2025

Beds

59

Ownership / control type

Private (proprietary)

Facility address

3333 East Imperial Hwy
Lynwood, CA 90262

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1487740452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 E IMPERIAL HWY",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623305",
            "telephone_number": "310-631-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 E IMPERIAL HWY",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623305",
            "telephone_number": "310-638-6691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMFIELD WEST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "CANDELAS",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "AR SYSTEMS MANAGER",
        "authorized_official_telephone_number": "949-740-3454"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "960000541",
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "550001863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "550001863",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC90066F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bloomfield West Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Marlinda West Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Isabel Bishop, MD
• Joanne Blair-Randolph
• Annette C Blakes, M.D.
• Xenia Blanco
• Bloomfield Parks, Inc
• Tammy Marie Blount
• Marlene Bolivar
• Dwight Boochie
• Elise Boretz, RD
• Beatriz Borjas

• Intellectual Disabilities Intermediate Care Facility in Lynwood, CA
• Providers in Lynwood, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.