Organization Active NPI

Coastal View Healthcare Center LLC

Doing business as Coastal View Healthcare Center

  • Skilled Nursing Facility
  • Ventura, CA
National Provider Identifier
1497011282
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
050000072 Issued in CA
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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)CodeLicenseStatePrimary
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 Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 CenterCCN 055566 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
4 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
9684.7 residents per day on average
Chain
The Mandelbaum Family18 facilities in the chain
Penalties (3 years)
1Fines totaling $8,278

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0873991Coastal View Healthcare Center4904 Telegraph Road, Ventura, CA 93003Certificate of waiverAug 3, 2027

National Provider Directory

National Provider Directory
Tax ID family
Brierwood Terrace Ventura Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

NameRoleSinceShare
Manhattan Five Partners LLC Organization, Los Angeles, CA LLC 5% Or Greater Direct Ownership Interest Jan 1, 2023 20%
Julie Pham Individual Operational/Managerial Control Mar 16, 2000
Adp of the SNF Mar 16, 2000
Ginian Aguilar Individual Operational/Managerial Control Oct 9, 2023
Adp of the SNF Oct 9, 2023
Janet Mandelbaum Individual Corporate OfficerManager Feb 28, 2018
Adp of the SNF Feb 28, 2018
Lowela Gobuyan Individual Operational/Managerial Control Feb 1, 2021
Adp of the SNF Feb 1, 2021
Hansen Organization, Portland, OR LLC, Consulting firm Adp of the SNF Jan 1, 2023
Simcha Mandelbaum Individual Operational/Managerial Control Mar 1, 2026
Adp of the SNF Mar 1, 2026
Kristie Bierly Individual Operational/Managerial Control Oct 9, 2023
Adp of the SNF Oct 9, 2023
Inga McManus Individual Operational/Managerial Control Jul 9, 2021
Adp of the SNF Jul 9, 2021
Miu NG Individual Operational/Managerial Control Aug 12, 2013
Adp of the SNF Aug 12, 2013
Brierwood II, LLC Organization, Redondo Beach, CA LLC Adp of the SNF Jan 1, 2023
Skillserve Inc Organization, Long Beach, CA Corporation Adp of the SNF Dec 20, 2007
Maria Castro-Garcia Individual Operational/Managerial Control Nov 6, 2019
Adp of the SNF Nov 6, 2019
The Bentzion Mandelbaum 2021 Irrevocable Gift Trust No. 2 Organization, Long Beach, CA 5% Or Greater Indirect Ownership Interest Jan 1, 2023 50%
Vinod K Valiveti Individual Operational/Managerial Control May 1, 2021
Adp of the SNF May 1, 2021
Adam Grabau Individual Operational/Managerial Control Sep 22, 2021
Adp of the SNF Sep 22, 2021
Global Skilled LLC Organization, Long Beach, CA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 1, 2018 50%
Simcha and Janet Mandelbaum Family Trust Organization, Long Beach, CA 5% Or Greater Indirect Ownership Interest Jan 1, 2023 20%
Telegraph Operations Partners LLC Organization, Los Angeles, CA LLC 5% Or Greater Direct Ownership Interest Apr 1, 2012 30%
The Simcha Mandelbaum 2021 Irrevocable Gift Trust No. 2 Organization, Long Beach, CA 5% Or Greater Indirect Ownership Interest Jan 1, 2023 14%
Cynthia Jordan Individual Operational/Managerial Control Feb 18, 2025
Adp of the SNF Feb 18, 2025
The Janet Mandelbaum 2021 Irrevocable Gift Trust No 2 Organization, Long Beach, CA 5% Or Greater Indirect Ownership Interest Jan 1, 2023 16%
Clinton Williams Individual 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.

Facilities with the same owner 25

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 25

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"
        }
    ]
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.