NPIMap

Organization Active NPI

Royal Vista Care Center LLC

Doing business as Royal Vista Care Center

  • Skilled Nursing Facility
  • San Gabriel, CA
National Provider Identifier
1770083990
Registry record updated Feb 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ROYAL VISTA CARE CENTER LLC
Doing business as
Royal Vista Care Center
Practice address
909 W Santa Anita Ave
San Gabriel, CA 91776-1018
Phone
(626) 289-5365
NPI assigned
Feb 14, 2018
Last updated
Feb 14, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2018

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

Authorized official

Name
David Roger Allen
Title
Vice Presiden of Finance
Phone
(626) 248-3350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

909 W Santa Anita Ave
San Gabriel, CA 91776-1018

Mailing address

55 S Raymond Ave Ste 105
Alhambra, CA 91801-7101
Phone (626) 248-3350

Other names 1

  • Royal Vista 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
O20190710001646 CA Part A Provider - Skilled Nursing Facility 8022371004 Practice locations: San Gabriel, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1770083990. Details of each certification follow.

Skilled nursing facility certification: CCN 055105

Legal name
ROYAL VISTA CARE CENTER LLC
Doing business as
ROYAL VISTA CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1973
Last certification
Nov 21, 2024
Beds
99
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Dec 7, 2016 in CA
Enrollment address
909 W Santa Anita Ave
San Gabriel, CA 91776-1018
Nursing home name
ROYAL VISTA CARE CENTER
Affiliated entity
AHMC HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Royal Vista Care CenterCCN 055105 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1973
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9983.0 residents per day on average
Chain
Ahmc Healthcare5 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Ahmc, Inc. Organization, Alhambra, CA Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 7, 2016 7.68%
Adp of the SNF Dec 7, 2016
Mochi Group LP Organization, San Marino, CA Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 7, 2016 20%
Adp of the SNF Dec 7, 2016
Aileen Joy Talaroc Individual Operational/Managerial Control Sep 30, 2024
Adp of the SNF Sep 30, 2024
George Lin Individual 5% Or Greater Indirect Ownership Interest Nov 17, 2017 8%
Adp of the SNF Nov 17, 2017
Ahmc Healthcare Inc. Organization, Alhambra, CA Corporation Operational/Managerial Control Dec 1, 2020
Adp of the SNF Dec 31, 2025
LSG Santa Anita, LLC Organization, Alhambra, CA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 7, 2016 20%
Adp of the SNF Dec 7, 2016
Stanley Toy Individual Corporate OfficerCeo Dec 1, 2020 100%
Operational/Managerial Control Dec 1, 2020
Adp of the SNF Dec 1, 2020
Ahmc Healthcare, LP Organization, Alhambra, CA Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 7, 2016 60%
Adp of the SNF Dec 7, 2016
Mohamad Albouidani Individual Operational/Managerial Control May 1, 2025
Adp of the SNF May 1, 2025
Yi Kun Wu Individual 5% Or Greater Indirect Ownership Interest May 1, 2024 23.71%
Adp of the SNF May 1, 2024
Jonathan Y.H. Wu Individual 5% Or Greater Indirect Ownership Interest May 1, 2024 23.84%
Adp of the SNF May 1, 2024
Amy Shlow- Yeh Liang Individual 5% Or Greater Indirect Ownership Interest Dec 7, 2016 5.39%
Adp of the SNF Dec 7, 2016
Evergreen Trust Organization, San Marino, CA Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2022 9.8%
Adp of the SNF Jan 1, 2022
Apex Trust Organization, San Marino, CA Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2022 9.8%
Adp of the SNF Jan 1, 2022
Alhambra Hospital Medical Center, LP Organization, Alhambra, CA Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 7, 2016 19.63%
Adp of the SNF Dec 7, 2016
Tameem Alhayya Individual Operational/Managerial Control May 1, 2025
Adp of the SNF May 1, 2025
Calmed Investment LP Organization, Alhambra, CA Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 7, 2016 34.24%
Adp of the SNF Dec 7, 2016
C. Jim Chen Accountancy Corp Organization, Gardena, CA Corporation Adp of the SNF Dec 7, 2016

Owners & managing parties with NPI records 5

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

Facilities with the same owner 17

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

  • Ahmc Anaheim Regional Medical

    dba AHMC Anaheim Regional Medical Center

    • General Acute Care Hospital
    • Anaheim, CA
    • NPI 1891938122

    Ahmc Healthcare Inc., Ahmc Healthcare, LP, Ahmc, Inc., Alhambra Hospital Medical Center, LP, Calmed Investment LP

    CMS ownership
  • Ahmc Garfield Medical Center LP

    dba Garfield Medical Center

    • Rehabilitation Hospital Unit
    • Monterey Park, CA
    • NPI 1619011608

    Ahmc Healthcare Inc., Ahmc Healthcare, LP, Ahmc, Inc., Alhambra Hospital Medical Center, LP, Calmed Investment LP, Evergreen Trust

    CMS ownership
  • Ahmc Garfield Medical Center LP

    dba Garfield Medical Center

    • General Acute Care Hospital
    • Monterey Park, CA
    • NPI 1730171265

    Ahmc Healthcare Inc., Ahmc Healthcare, LP, Ahmc, Inc., Alhambra Hospital Medical Center, LP, Calmed Investment LP, Evergreen Trust

    CMS ownership
  • Ahmc Greater El Monte Community
    • General Acute Care Hospital
    • South El Monte, CA
    • NPI 1346232881

    Ahmc Healthcare Inc., Ahmc Healthcare, LP, Ahmc, Inc., Alhambra Hospital Medical Center, LP, Calmed Investment LP

    CMS ownership
  • Ahmc Greater El Monte Community Hospital LP

    dba Ahmc Greater El Monte Community Hospital

    • Medicare Defined Swing Bed Hospital Unit
    • South El Monte, CA
    • NPI 1972603181

    Ahmc Healthcare Inc., Ahmc Healthcare, LP, Ahmc, Inc., Alhambra Hospital Medical Center, LP, Calmed Investment LP, Evergreen Trust

    CMS ownership
  • Ahmc Monterey Park Hospital LP

    dba Monterey Park Hospital

    • General Acute Care Hospital
    • Monterey Park, CA
    • NPI 1780676221

    Ahmc Healthcare Inc., Ahmc Healthcare, LP, Ahmc, Inc., Alhambra Hospital Medical Center, LP, Calmed Investment LP, Evergreen Trust

    CMS ownership
  • Ahmc San Gabriel Valley Medical

    dba AHMC San Gabreil Valley Medical Center, LP

    • General Acute Care Hospital
    • San Gabriel, CA
    • NPI 1275720377

    Ahmc, Inc., Alhambra Hospital Medical Center, LP, Calmed Investment LP, Evergreen Trust

    CMS ownership
  • Ahmc San Gabriel Valley Medical
    • Psychiatric Hospital Unit
    • San Gabriel, CA
    • NPI 1487939724

    Ahmc, Inc., Alhambra Hospital Medical Center, LP, Calmed Investment LP, Evergreen Trust

    CMS ownership
  • Ahmc San Gabriel Valley Medical

    dba AHMC San Gabriel Valley Medical Center

    • Skilled Nursing Facility
    • San Gabriel, CA
    • NPI 1710174818

    Ahmc, Inc., Alhambra Hospital Medical Center, LP, Calmed Investment LP, Evergreen Trust

    CMS ownership
  • Ahmc Seton Medical Center LLC

    dba Seton Medical Center ,Seton Medical Center Coastside

    • General Acute Care Hospital
    • Daly City, CA
    • NPI 1023636545

    Ahmc Healthcare Inc., Ahmc Healthcare, LP, Ahmc, Inc., Alhambra Hospital Medical Center, LP, Calmed Investment LP, Mochi Group LP

    CMS ownership
  • Ahmc Seton Medical Center LLC

    dba Seton Medical Center, Seton Medical Center Coastside

    • General Acute Care Hospital
    • Daly City, CA
    • NPI 1386252112

    Ahmc Healthcare Inc., Ahmc Healthcare, LP, Ahmc, Inc., Alhambra Hospital Medical Center, LP, Apex Trust, Calmed Investment LP, Evergreen Trust, Mochi Group LP

    CMS ownership
  • Ahmc Seton Medical Center LLC

    dba Seton Medical Center, Seton Medica Center Coastside

    • Psychiatric Hospital Unit
    • Daly City, CA
    • NPI 1639797855

    Ahmc Healthcare Inc., Ahmc Healthcare, LP, Ahmc, Inc., Alhambra Hospital Medical Center, LP, Calmed Investment LP, Mochi Group LP

    CMS ownership
View all 17

Practitioners & affiliated clinicians

Affiliated clinicians 6

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": "1518566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518566400000",
    "number": "1770083990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 S RAYMOND AVE STE 105",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918017101",
            "telephone_number": "626-248-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 W SANTA ANITA AVE",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761018",
            "telephone_number": "626-289-5365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL VISTA CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-14",
        "last_updated": "2018-02-14",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "VICE PRESIDEN OF FINANCE",
        "authorized_official_telephone_number": "626-248-3350"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Royal Vista Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Gabriel, CA

Sources for this page

Verify at the official NPI Registry.