Organization Active NPI

Puente Partners,LLC

  • Skilled Nursing Facility
  • Baldwin Park, CA
National Provider Identifier
1720243199
Registry record updated May 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
950000077 Issued in CA
Legal business name
PUENTE PARTNERS,LLC
Practice address
3541 Puente Ave
Baldwin Park, CA 91706-5534
Phone
(626) 962-1043
Fax
(626) 337-2142
NPI assigned
Jul 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2009

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

Authorized official

Name
Jeanne Nelson
Title
Ar Manager
Phone
(714) 577-3880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 950000077 CA Primary

Addresses

Primary practice location

3541 Puente Ave
Baldwin Park, CA 91706-5534

Mailing address

3050 Saturn St
Ste201
Brea, CA 92821-6221
Phone (714) 577-3880

Other names 1

  • Victoria Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090410000050 CA Part A Provider - Skilled Nursing Facility 9335201763 Practice locations: Baldwin Park, CA

Skilled nursing facility certification: CCN 555107

Legal name
PUENTE PARTNERS LLC
Doing business as
VICTORIA CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 5, 1979
Last certification
Feb 16, 2025
Beds
49
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Sunmar Healthcare
Organization structure
LLCProprietary
Enrollment address
3541 Puente Ave
Baldwin Park, CA 91706-5534
Nursing home name
VICTORIA CARE CENTER
Affiliated entity
DAVID JOHNSON

Care Compare: Nursing home

Medicare Care Compare
Listed as
Victoria Care CenterCCN 555107
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Feb 5, 1979
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4941.5 residents per day on average
Chain
David Johnson48 facilities in the chain

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
05D0881826Victoria Care Center3541 Puente Ave, Baldwin Park, CA 91706Certificate of waiverJan 23, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Sun Mar Management Services Organization, Brea, CA Corporation, Consulting firm Adp of the SNF Oct 12, 1989
Rose Baldwin Park Property LP Organization, Hunt Valley, MD For-profit, Real estate investment trust (REIT), Owned by another organization or individual 5% Or Greater Security Interest Feb 11, 2025
Adp of the SNF Feb 11, 2025
Naveen Kumar Dhiman Individual Operational/Managerial Control Aug 10, 2024
Adp of the SNF Jan 1, 2023
Organization, Chicago, IL Corporation, Financial institution, For-profit Adp of the SNF Apr 8, 2025
David a Johnson Individual 5% Or Greater Indirect Ownership Interest Jun 10, 2008 30%
Micheal D Oxford Individual Operational/Managerial Control Jan 3, 2022
Adp of the SNF Jan 3, 2022
Frank a Johnson Individual 5% Or Greater Indirect Ownership Interest Jun 10, 2008 30%
Operational/Managerial Control Jun 10, 2008
Managing Control - Governing BodyManager Jun 10, 2008
Joshua Kochek Individual Operational/Managerial Control Apr 1, 2022
Adp of the SNF Apr 1, 2022
Eli Marmur Individual 5% Or Greater Indirect Ownership Interest Jun 10, 2008 20%
Thomas M Chambers Individual 5% Or Greater Indirect Ownership Interest Jun 10, 2008 20%
Adrian Dehghanmanesh Individual Operational/Managerial Control Jun 1, 2021
Adp of the SNF Jun 1, 2021
Joshua Brice Individual Operational/Managerial Control Oct 24, 2024
Adp of the SNF Oct 24, 2024
Mary Farrales Individual Adp of the SNF Jan 1, 2023
Puente Partners LLC Organization, Brea, CA Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Oct 30, 2008 100%
Operational/Managerial Control Oct 30, 2008
Adp of the SNF Oct 30, 2008
Pearson Chimwaza Individual Operational/Managerial Control Sep 16, 2024
Adp of the SNF Sep 16, 2024

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

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": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241654400000",
    "number": "1720243199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 SATURN ST",
            "address_2": "STE201",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216221",
            "telephone_number": "714-577-3880",
            "fax_number": "714-577-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3541 PUENTE AVE",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917065534",
            "telephone_number": "626-962-1043",
            "fax_number": "626-337-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUENTE PARTNERS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2009-05-07",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "AR MANAGER",
        "authorized_official_telephone_number": "714-577-3880"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "950000077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victoria Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baldwin Park, CA

Sources for this page

Verify at the official NPI Registry.