Organization Active NPI

Temple City Healthcare, LLC

Doing business as Temple City Healthcare

  • Skilled Nursing Facility
  • Temple City, CA
National Provider Identifier
1700140175
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
TEMPLE CITY HEALTHCARE, LLC
Doing business as
Temple City Healthcare
Practice address
5101 Tyler Ave
Temple City, CA 91780-3682
Phone
(626) 443-3028
Fax
(626) 443-1988
NPI assigned
Jun 29, 2012
Last updated
Oct 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Authorized official

Name
Matthew S Karp
Title
Managing Member
Phone
(818) 821-3897

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

5101 Tyler Ave
Temple City, CA 91780-3682

Mailing address

5101 Tyler Ave
Temple City, CA 91780-3682
Phone (626) 443-3028

Other names 1

  • Temple City Healthcare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130529000779 CA Part A Provider - Skilled Nursing Facility 0648420166 Practice locations: Temple City, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700140175. Details of each certification follow.

Skilled nursing facility certification: CCN 056413

Legal name
TEMPLE CITY HEALTHCARE, LLC
Doing business as
TEMPLE CITY HEALTHCARE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 27, 1973
Last certification
Mar 16, 2025
Beds
59
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
5101 Tyler Ave
Temple City, CA 91780-3682
Nursing home name
TEMPLE CITY HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Temple City HealthcareCCN 056413 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Sep 27, 1973
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5952.4 residents per day on average

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
05D0724040Temple City Healthcare5101 Tyler Ave, Temple City, CA 91780Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

3452 E Foothill Blvd
Ste 710
Pasadena, CA 91107

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Matthew S Karp Individual 5% Or Greater Direct Ownership Interest Jun 30, 2023 50%
Operational/Managerial Control Oct 18, 2019
Adp of the SNF Oct 18, 2019
John K Liu Individual Operational/Managerial Control Mar 1, 2024
Adp of the SNF Mar 1, 2024
Joann B Figueroa Individual Operational/Managerial Control Oct 18, 2019
Adp of the SNF Oct 18, 2019
Ronald J Mayer Individual Adp of the SNF Nov 23, 2011
Benjamin M Karp Individual 5% Or Greater Direct Ownership Interest Jun 30, 2023 50%
Operational/Managerial Control Jun 30, 2023
Adp of the SNF Oct 18, 2019
Caravan Operations Corp Organization, Los Angeles, CA Corporation, For-profit, Chain home office Adp of the SNF Sep 20, 2012
Mayer 2005 Revocable Trust Organization, Los Angeles, CA For-profit Adp of the SNF Nov 23, 2011
5101 Tyler Avenue LLC Organization, Los Angeles, CA LLC, For-profit Adp of the SNF Nov 23, 2011
Mayer 2012 Trust Organization, Pasadena, CA For-profit 5% Or Greater Direct Ownership Interest Dec 15, 2012 25%
Bastomski Living Trust Dated April 18, 1997 Organization, Los Angeles, CA For-profit Adp of the SNF Nov 23, 2011
Helene G Mayer Individual Adp of the SNF Nov 23, 2011

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 2

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

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1340928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1700140175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 TYLER AVE",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917803682",
            "telephone_number": "626-443-3028",
            "fax_number": "626-443-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 TYLER AVE",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917803682",
            "telephone_number": "626-443-3028",
            "fax_number": "626-443-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMPLE CITY HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-29",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "KARP",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "818-821-3897"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Temple City Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Temple City, CA

Sources for this page

Verify at the official NPI Registry.