533 South Fairfax Avenue Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

910000146 Issued in CA

Legal business name

533 SOUTH FAIRFAX AVENUE INC

Practice address

533 S Fairfax Ave
Los Angeles, CA 90036-3129

Phone

(323) 931-1061

Fax

(323) 931-1943

NPI assigned

Sep 29, 2005

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• GUARDIAN REHABILITATION HOSPITAL Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Skilled nursing facility certification: CCN 056008

Legal name

533 SOUTH FAIRFAX AVENUE INC

Doing business as

GUARDIAN REHABILITATION HOSPITAL

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Dec 17, 1968

Last certification

Jan 30, 2025

Beds

93

Ownership / control type

Corporation

Organization structure

CorporationProprietary

Incorporated

Oct 25, 2001 in CA

Enrollment address

533 S Fairfax Ave
Los Angeles, CA 90036-3129

Nursing home name

GUARDIAN REHABILITATION HOSPITAL

Affiliated entity

THE MANDELBAUM FAMILY

Listed as

Guardian Rehabilitation HospitalCCN 056008

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Dec 17, 1968

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9384.6 residents per day on average

Chain

The Mandelbaum Family18 facilities in the chain

Penalties (3 years)

1Fines totaling $32,040

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 20

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.

• Gary I. Gutkin, M.D.

  • Hospitalist Physician
  • West Hollywood, CA
  • NPI 1366636573

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 16

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

• 1130 W la Palma Ave Inc

  • 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

  CMS ownership
• 1135 N Leisure CT Inc

  • 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

  CMS ownership
• 12232 Chapman Ave Inc

  • 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

  CMS ownership
• 8520 Western Avenue Inc

  • 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

  CMS ownership
• Bellflower Post Acute LLC

  • 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

  CMS ownership
• Coastal View Healthcare Center LLC

  • Skilled Nursing Facility
  • Ventura, CA
  • NPI 1497011282

  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

  CMS ownership
• Community Convalescent Center of Montclair Inc

  • Skilled Nursing Facility
  • Montclair, CA
  • NPI 1851388458

  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

  CMS ownership
• Garden Grove Convalescent Hospital Inc

  • Skilled Nursing Facility
  • Garden Grove, CA
  • NPI 1295722809

  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

  CMS ownership
• Grand Valley Health Care Center LLC

  • Skilled Nursing Facility
  • Van Nuys, CA
  • NPI 1073950614

  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

  CMS ownership
• Long Beach Post Acute LLC

  • Skilled Nursing Facility
  • Long Beach, CA
  • NPI 1811390693

  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

  CMS ownership
• New Vista Nursing Operator, LLC

  • Skilled Nursing Facility
  • Sunland, CA
  • NPI 1154669794

  The Bentzion Mandelbaum 2021 Irrevocable Gift Trust No. 2, The Janet Mandelbaum 2021 Irrevocable Gift Trust No 2

  CMS ownership
• New Vista Pac Operator, LLC

  • Skilled Nursing Facility
  • Los Angeles, CA
  • NPI 1881932424

  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

  CMS ownership

Affiliated clinicians 11

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

• Farid Azizollahi, MD

  • Family Medicine Physician
  • Beverly Hills, CA
  • NPI 1649328519

  Nursing home

  Care Compare affiliation
• Peiman Berdjis, M.D.

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1326150590

  Nursing home

  Care Compare affiliation
• Helena Fotiou, MD

  • Hospitalist Physician
  • West Hollywood, CA
  • NPI 1700144946

  Nursing home

  Care Compare affiliation
• Gary I. Gutkin, M.D.

  • Hospitalist Physician
  • West Hollywood, CA
  • NPI 1366636573

  Nursing home

  Care Compare affiliation
• Marina Kovalevsky, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1144377607

  Nursing home

  Care Compare affiliation
• Matthew Greg Lefferman, DO

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1184622417

  Nursing home

  Care Compare affiliation
• Payam Shadi, M.D.

  • Sleep Medicine (Internal Medicine) Physician
  • Los Angeles, CA
  • NPI 1780615724

  Nursing home

  Care Compare affiliation
• Pejman David Shamekh, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1982620134

  Nursing home

  Care Compare affiliation
• Soheil Soleymani, MD

  • Internal Medicine Physician
  • West Hollywood, CA
  • NPI 1902329931

  Nursing home

  Care Compare affiliation
• Kanishka Wijegunaratne, M.D.

  • Internal Medicine Physician
  • Encino, CA
  • NPI 1669714754

  Nursing home

  Care Compare affiliation
• James Jinhong Yang, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1467816744

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1639166242",
    "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": "533 S FAIRFAX AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363129",
            "telephone_number": "323-931-1061",
            "fax_number": "323-931-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "533 SOUTH FAIRFAX AVENUE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "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": "910000146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT06008G",
            "state": "CA"
        }
    ],
    "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": "GUARDIAN REHABILITATION HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Los Angeles, CA
• Skilled Nursing Facility in California

• 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.

Verify at the official NPI Registry.