Monterey Park Convalescent Hospital Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

950000075 Issued in CA

Legal business name

MONTEREY PARK CONVALESCENT HOSPITAL INC

Practice address

416 Garfield Avenue
Monterey Park, CA 91754

Phone

(626) 280-0280

Fax

(626) 280-9246

NPI assigned

Sep 16, 2006

Organization subpart

No

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

Authorized official

Name

William C Presnell

Title

Cfo

Phone

(714) 577-3880

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Monterey Park Convalescent Hospital INC Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Skilled nursing facility certification: CCN 055162

Legal name

MONTEREY PARK CONVALESCENT HOSPITAL INC

Doing business as

MONTEREY PARK CONVALESCENT HOSPITAL

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1967

Last certification

May 15, 2025

Beds

89

Ownership / control type

Limited Liability Corporation

Organization structure

CorporationProprietary

Incorporated

Jul 29, 1981 in CA

Enrollment address

416 N Garfield Ave
Monterey Park, CA 91754-1203

Nursing home name

MONTEREY PARK CONV HOSP

Affiliated entity

DAVID JOHNSON

Listed as

Monterey Park Conv HospCCN 055162

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

3 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jan 1, 1967

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

8985.1 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 2

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

• Eli E Marmur, M.A., R.P.T.

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1720199664

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• Wei Wang, MD

  • Internal Medicine Physician
  • Monterey Park, CA
  • NPI 1184788523

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 12

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

• Mohamad Albouidani, MD

  • Internal Medicine Physician
  • Orange, CA
  • NPI 1770670713

  Nursing home

  Care Compare affiliation
• Tameem Alhayya, MD

  • Nephrology Physician
  • Corona, CA
  • NPI 1649283557

  Nursing home

  Care Compare affiliation
• Jilin Bai, M.D.

  • General Practice Physician
  • Monterey Park, CA
  • NPI 1003102856

  Nursing home

  Care Compare affiliation
• Li Liu, M.D.

  • Internal Medicine Physician
  • Monterey Park, CA
  • NPI 1295722627

  Nursing home

  Care Compare affiliation
• Daniel Carrillo Maldonado, M.D.

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1851344949

  Nursing home

  Care Compare affiliation
• Matthew Kam Yu Mo, MD

  • Family Medicine Physician
  • Alhambra, CA
  • NPI 1306919899

  Nursing home

  Care Compare affiliation
• Hy Phung Ngo, MD

  • Internal Medicine Physician
  • San Gabriel, CA
  • NPI 1871658492

  Nursing home

  Care Compare affiliation
• Zhaoyang Pan, M.D.

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1225193964

  Nursing home

  Care Compare affiliation
• Mohan Padamannur Rao, MD

  • Internal Medicine Physician
  • South El Monte, CA
  • NPI 1265467435

  Nursing home

  Care Compare affiliation
• Kevin Tai, DO

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1295359842

  Nursing home

  Care Compare affiliation
• Wei Wang, MD

  • Internal Medicine Physician
  • Monterey Park, CA
  • NPI 1184788523

  Nursing home

  Care Compare affiliation
• Shuo Zhou

  • Family Medicine Physician
  • Downey, CA
  • NPI 1184099954

  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": "1380153600000",
    "number": "1487750303",
    "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": "416 GARFIELD AVENUE",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "91754",
            "telephone_number": "626-280-0280",
            "fax_number": "626-280-9246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEREY PARK CONVALESCENT HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2013-09-26",
        "status": "A",
        "authorized_official_last_name": "PRESNELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "714-577-3880"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "950000075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05162G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monterey Park Convalescent Hospital INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Joanna Stephanie Monge
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• Monterrey Park Medical Center
• Alexis Montes

• Skilled Nursing Facility in Monterey Park, CA
• Providers in Monterey Park, 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 Sep 26, 2013; 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.