Active NPI
Coastal View Healthcare Center LLC
Doing business as Coastal View Healthcare Center
- Skilled Nursing Facility
- Ventura, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 050000072
- Legal business name
- COASTAL VIEW HEALTHCARE CENTER LLC
- Doing business as
- Coastal View Healthcare Center
- Practice address
- 4904 Telegraph Rd
Ventura, CA 93003-4109 - Phone
- (805) 642-4101
- Fax
- (805) 642-0156
- NPI assigned
- Apr 5, 2012
- Last updated
- May 28, 2026
- 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
- Mr. John Henry Sy
- Title
- VP of Revenue Management
- Phone
- (562) 930-0777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 050000072 | CA | Primary |
Addresses
Primary practice location
4904 Telegraph Rd
Ventura, CA 93003-4109
Mailing address
4115 E Broadway
Long Beach, CA 90803-1532
Phone (562) 930-0777
Other names 1
- Coastal View Healthcare Center
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | eSolutions Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120523000313 | CA | Part A Provider - Skilled Nursing Facility | 9739342163 | Practice locations: Ventura, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1497011282. Details of each certification follow.
Skilled nursing facility certification: CCN 055566
- Legal name
- COASTAL VIEW HEALTHCARE CENTER LLC
- Doing business as
- COASTAL VIEW HEALTHCARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1967
- Last certification
- Oct 17, 2024
- Beds
- 96
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- U.S. SKILLED SERV
- Organization structure
- LLC
- Incorporated
- Feb 28, 2012 in CA
- Enrollment address
- 4904 Telegraph Rd
Ventura, CA 93003-4109 - Nursing home name
- COASTAL VIEW HEALTHCARE CENTER
- Affiliated entity
- THE MANDELBAUM FAMILY
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Coastal View Healthcare Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jan 1, 1967
- Medicare certification status
- Active
- Certified beds
- 96
- Chain
- The Mandelbaum Family
- Penalties (3 years)
- 1
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 |
|---|---|---|---|
| 05D0873991 | Coastal View Healthcare Center | Certificate of waiver | Aug 3, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Brierwood Terrace Ventura Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba The Venturan Convalescent Center
- Skilled Nursing Facility
- Ventura, CA
- NPI 1164499810
Ownership & related parties
All disclosed owners & managing parties 23
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 |
|---|---|---|---|
| Manhattan Five Partners LLC | 5% Or Greater Direct Ownership Interest | Jan 1, 2023 | 20% |
| Julie Pham | Operational/Managerial Control | Mar 16, 2000 | |
| Adp of the SNF | Mar 16, 2000 | ||
| Ginian Aguilar | Operational/Managerial Control | Oct 9, 2023 | |
| Adp of the SNF | Oct 9, 2023 | ||
| Janet Mandelbaum | Corporate Officer | Feb 28, 2018 | |
| Adp of the SNF | Feb 28, 2018 | ||
| Lowela Gobuyan | Operational/Managerial Control | Feb 1, 2021 | |
| Adp of the SNF | Feb 1, 2021 | ||
| Hansen | Adp of the SNF | Jan 1, 2023 | |
| Simcha Mandelbaum | Operational/Managerial Control | Mar 1, 2026 | |
| Adp of the SNF | Mar 1, 2026 | ||
| Kristie Bierly | Operational/Managerial Control | Oct 9, 2023 | |
| Adp of the SNF | Oct 9, 2023 | ||
| Inga McManus | Operational/Managerial Control | Jul 9, 2021 | |
| Adp of the SNF | Jul 9, 2021 | ||
| Miu NG | Operational/Managerial Control | Aug 12, 2013 | |
| Adp of the SNF | Aug 12, 2013 | ||
| Brierwood II, LLC | Adp of the SNF | Jan 1, 2023 | |
| Skillserve Inc | Adp of the SNF | Dec 20, 2007 | |
| Maria Castro-Garcia | Operational/Managerial Control | Nov 6, 2019 | |
| Adp of the SNF | Nov 6, 2019 | ||
| The Bentzion Mandelbaum 2021 Irrevocable Gift Trust No. 2 | 5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 50% |
| Vinod K Valiveti | Operational/Managerial Control | May 1, 2021 | |
| Adp of the SNF | May 1, 2021 | ||
| Adam Grabau | Operational/Managerial Control | Sep 22, 2021 | |
| Adp of the SNF | Sep 22, 2021 | ||
| Global Skilled LLC | 5% Or Greater Direct Ownership Interest | Aug 1, 2018 | 50% |
| Simcha and Janet Mandelbaum Family Trust | 5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 20% |
| Telegraph Operations Partners LLC | 5% Or Greater Direct Ownership Interest | Apr 1, 2012 | 30% |
| The Simcha Mandelbaum 2021 Irrevocable Gift Trust No. 2 | 5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 14% |
| Cynthia Jordan | Operational/Managerial Control | Feb 18, 2025 | |
| Adp of the SNF | Feb 18, 2025 | ||
| The Janet Mandelbaum 2021 Irrevocable Gift Trust No 2 | 5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 16% |
| Clinton Williams | Operational/Managerial Control | May 4, 2010 | |
| Adp of the SNF | May 4, 2010 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Internal Medicine) Physician
- Oxnard, CA
- NPI 1598714107
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 25
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba La Palma Nursing Center
- Skilled Nursing Facility
- Anaheim, CA
- NPI 1881681559
Simcha and Janet Mandelbaum Family Trust, The Bentzion Mandelbaum 2021 Irrevocable Gift Trust No. 2, The Janet Mandelbaum 2021 Irrevocable Gift Trust No 2, The Simcha Mandelbaum 2021 Irrevocable Gift Trust No. 2
-
dba Leisure Court Nursing Center
- Skilled Nursing Facility
- Anaheim, CA
- NPI 1033106703
Simcha and Janet Mandelbaum Family Trust, The Bentzion Mandelbaum 2021 Irrevocable Gift Trust No. 2, The Janet Mandelbaum 2021 Irrevocable Gift Trust No 2, The Simcha Mandelbaum 2021 Irrevocable Gift Trust No. 2
-
dba Chapman Care Center
- Skilled Nursing Facility
- Garden Grove, CA
- NPI 1437146032
Simcha and Janet Mandelbaum Family Trust, The Bentzion Mandelbaum 2021 Irrevocable Gift Trust No. 2, The Janet Mandelbaum 2021 Irrevocable Gift Trust No 2, The Simcha Mandelbaum 2021 Irrevocable Gift Trust No. 2
-
dba Guardian Rehabilitation Hospital
- Skilled Nursing Facility
- Los Angeles, CA
- NPI 1639166242
Simcha and Janet Mandelbaum Family Trust, The Bentzion Mandelbaum 2021 Irrevocable Gift Trust No. 2, The Janet Mandelbaum 2021 Irrevocable Gift Trust No 2, The Simcha Mandelbaum 2021 Irrevocable Gift Trust No. 2
-
dba Buena Park Nursing Center
- Skilled Nursing Facility
- Buena Park, CA
- NPI 1497742167
The Bentzion Mandelbaum 2021 Irrevocable Gift Trust No. 2, The Janet Mandelbaum 2021 Irrevocable Gift Trust No 2, The Simcha Mandelbaum 2021 Irrevocable Gift Trust No. 2
-
dba Bellflower Post Acute
- Skilled Nursing Facility
- Bellflower, CA
- NPI 1154791895
Simcha and Janet Mandelbaum Family Trust, The Bentzion Mandelbaum 2021 Irrevocable Gift Trust No. 2, The Janet Mandelbaum 2021 Irrevocable Gift Trust No 2, The Simcha Mandelbaum 2021 Irrevocable Gift Trust No. 2
-
dba Madera Rehabilitation and Nursing Center
- Skilled Nursing Facility
- Madera, CA
- NPI 1699827089
Manhattan Five Partners LLC
-
dba La Sierra Care Center
- Skilled Nursing Facility
- Merced, CA
- NPI 1740332121
Manhattan Five Partners LLC
-
dba Merced Nursing & Rehabilitation Center
- Skilled Nursing Facility
- Merced, CA
- NPI 1992857999
Manhattan Five Partners LLC
-
dba Modesto Post Acute Center
- Skilled Nursing Facility
- Modesto, CA
- NPI 1932251808
Manhattan Five Partners LLC
-
dba Professional Post Acute Center
- Skilled Nursing Facility
- San Rafael, CA
- NPI 1811049026
Manhattan Five Partners LLC
-
dba Lassen Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Susanville, CA
- NPI 1124170519
Manhattan Five Partners LLC
Practitioners & affiliated clinicians
Affiliated clinicians 2
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": "1333584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779926400000",
"number": "1497011282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4115 E BROADWAY",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908031532",
"telephone_number": "562-930-0777",
"fax_number": "562-930-0728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4904 TELEGRAPH RD",
"city": "VENTURA",
"state": "CA",
"postal_code": "930034109",
"telephone_number": "805-642-4101",
"fax_number": "805-642-0156"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COASTAL VIEW HEALTHCARE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-05",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A",
"authorized_official_last_name": "SY",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "HENRY",
"authorized_official_title_or_position": "VP OF REVENUE MANAGEMENT",
"authorized_official_telephone_number": "562-930-0777",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": "050000072",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1066.1",
"affiliationName": "eSolutions Inc",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CSV",
"address_1": "8215 W 108th Ter",
"city": "Overland Park",
"state": "KS",
"country_code": "US",
"postal_code": "662101661",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Coastal View Healthcare Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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- Coastal Physical Therapy Inc
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- Coastal Radiation Oncology Medical Group Inc
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- Cocain Chiropractic Corporation
- Robert V Cocain, DC
- Alyssa Breanne Cockerell
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.