Agva, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

AGVA, LLC

Doing business as

Kei-Ai South Bay Healthcare Center

Practice address

15115 S Vermont Ave
Gardena, CA 90247-4101

Phone

(310) 532-0700

Fax

(310) 532-0001

NPI assigned

Sep 22, 2015

Last updated

Nov 23, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Bradshaw

Title

Manager

Phone

(949) 347-7100

Specialties & licenses 1

Addresses

Other names 1

• Kei-Ai South Bay Healthcare Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1639548449. Details of each certification follow.

• CCN 555306 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 555306

Legal name

AGVA LLC

Doing business as

KEI-AI SOUTH BAY HEALTHCARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 17, 1988

Last certification

Jan 13, 2025

Beds

98

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Aspen Healthcare

Organization structure

LLCProprietary

Incorporated

Jan 9, 2015 in CA

Enrollment address

15115 S Vermont Ave
Gardena, CA 90247-4101

Nursing home name

KEI-AI SOUTH BAY HEALTHCARE CENTER

Affiliated entity

ASPEN SKILLED HEALTHCARE

Listed as

Kei-Ai South Bay Healthcare CenterCCN 555306 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Mar 17, 1988

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9893.7 residents per day on average

Chain

Aspen Skilled Healthcare35 facilities in the chain

Penalties (3 years)

1Fines totaling $17,088

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 22

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.

• Sohail Davoudian, M.D.

  • Internal Medicine Physician
  • Redondo Beach, CA
  • NPI 1255462248

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 9

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

• Marjan Chegounchi, MD

  • Internal Medicine Physician
  • Inglewood, CA
  • NPI 1285660456

  Nursing home

  Care Compare affiliation
• Sohail Davoudian, M.D.

  • Internal Medicine Physician
  • Redondo Beach, CA
  • NPI 1255462248

  Nursing home

  Care Compare affiliation
• Asad Uddin Khaja, MD

  • Internal Medicine Physician
  • Torrance, CA
  • NPI 1679612360

  Nursing home

  Care Compare affiliation
• Pranit Shrestha, M.D., M.P.H.

  • Internal Medicine Physician
  • Gardena, CA
  • NPI 1164839775

  Nursing home

  Care Compare affiliation
• Jaee Shrikant Tamhane, DO

  • Emergency Medicine Physician
  • Gardena, CA
  • NPI 1164981023

  Nursing home

  Care Compare affiliation
• Shrikant Tamhane, D.O.

  • Family Medicine Physician
  • Carson, CA
  • NPI 1497868251

  Nursing home

  Care Compare affiliation
• Aaron Khoi Minh Tran, M.D.

  • Internal Medicine Physician
  • Torrance, CA
  • NPI 1841453032

  Nursing home

  Care Compare affiliation
• Chris Makoto Tsuneishi, M.D.

  • Internal Medicine Physician
  • Torrance, CA
  • NPI 1669425575

  Nursing home

  Care Compare affiliation
• Swetha Vakkalanka, MD

  • Family Medicine Physician
  • Torrance, CA
  • NPI 1659930824

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448236800000",
    "number": "1639548449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15115 S VERMONT AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474101",
            "telephone_number": "310-532-0700",
            "fax_number": "310-532-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15115 S VERMONT AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474101",
            "telephone_number": "310-532-0700",
            "fax_number": "310-532-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGVA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-22",
        "last_updated": "2015-11-23",
        "status": "A",
        "authorized_official_last_name": "BRADSHAW",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "949-347-7100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kei-Ai South Bay Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diana Karen Aguirre
• Justine Diane Aguirre, NONE
• Natalie Aguirre
• Stephanie Aguirre
• Christian Agustin, FNP
• Wendy Agyapong, PMHNP-BC
• Anishah Ahmad
• Saba Tabassum Ahmed
• Felix NA Ahmedov, RN
• AIDS Health Foundation

• Skilled Nursing Facility in Gardena, CA
• Providers in Gardena, 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 Nov 23, 2015; 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.