Active NPI
Acsb, LLC
- Skilled Nursing Facility
- Culver City, CA
National Provider Identifier
1801201843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- ACSB, LLC
- Practice address
- 5240 Sepulveda Blvd
Culver City, CA 90230-5214 - Phone
- (310) 391-7266
- Fax
- (310) 391-4998
- NPI assigned
- Jun 28, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jeffrey J Bradshaw
- Title
- Manager
- Phone
- (949) 347-7100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
5240 Sepulveda Blvd
Culver City, CA 90230-5214
Mailing address
5240 Sepulveda Blvd
Culver City, CA 90230-5214
Phone (310) 391-7266
Other names 1
- Marina Pointe Subacute
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140908002225 | CA | Part A Provider - Skilled Nursing Facility | 9931328853 | Practice locations: Culver City, CA |
Skilled nursing facility certification: CCN 555340
- Legal name
- ACSB LLC
- Doing business as
- MARINA POINTE HEALTHCARE & SUBACUTE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 13, 1989
- Last certification
- Feb 21, 2025
- Beds
- 116
- Ownership / control type
- Corporation
- Organization structure
- LLC
- Incorporated
- Jun 25, 2014 in CA
- Enrollment address
- 5240 Sepulveda Blvd
Culver City, CA 90230-5214 - Nursing home name
- MARINA POINTE HEALTHCARE & SUBACUTE
- Affiliated entity
- ASPEN SKILLED HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Marina Pointe Healthcare & Subacute
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Mar 13, 1989
- Medicare certification status
- Active
- Certified beds
- 116
- Chain
- Aspen Skilled Healthcare
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0933985 | Marina Pointe Healthcare & Subacute | Certificate of waiver | Feb 13, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 25
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Craig Orgill | Indirect Ownership Interest | Jan 1, 2019 | 1.3% |
| Josie Jardiel | Operational/Managerial Control | Feb 22, 2024 | |
| Adp of the SNF | Feb 22, 2023 | ||
| Jared Kirkwood | Indirect Ownership Interest | Jan 1, 2019 | 0.3% |
| Eric Elsner | Indirect Ownership Interest | Jan 20, 2015 | 4.08% |
| Jeffrey J Bradshaw | 5% Or Greater Indirect Ownership Interest | Jun 23, 2014 | 22.25% |
| Corporate Officer | Jun 26, 2014 | ||
| Corporate Director | Jun 26, 2014 | ||
| Adp of the SNF | Jan 1, 2023 | ||
| CCSB, LLC | Adp of the SNF | May 26, 2020 | |
| Timothy Caslmon | Corporate Officer | Jan 1, 2023 | |
| Operational/Managerial Control | Jan 1, 2023 | ||
| Adp of the SNF | Jan 1, 2023 | ||
| Ryan M Case | 5% Or Greater Indirect Ownership Interest | Jun 26, 2014 | 31.77% |
| Corporate Officer | Jun 26, 2014 | ||
| Corporate Director | Jun 26, 2014 | ||
| Adp of the SNF | May 26, 2020 | ||
| Julie Kotula | Operational/Managerial Control | May 9, 2025 | |
| Marcus J Paxman | Adp of the SNF | Jan 1, 2023 | |
| Indirect Ownership Interest | Apr 1, 2022 | 0.01% | |
| Aspen Skilled Healthcare Inc | 5% Or Greater Indirect Ownership Interest | Jan 20, 2015 | 100% |
| 5% Or Greater Mortgage Interest | May 26, 2020 | 17.13% | |
| Adp of the SNF | May 6, 2020 | ||
| Aspen Healthcare Services LLC | Adp of the SNF | Jan 1, 2023 | |
| Wells Fargo Bank, National Assocaition | Adp of the SNF | Nov 1, 2019 | |
| Jacaranda Healthcare Group LLC | Adp of the SNF | Jan 1, 2023 | |
| Indirect Ownership Interest | Jan 1, 2023 | 100% | |
| Wayne Fortin | Operational/Managerial Control | Feb 19, 2025 | |
| Adp of the SNF | Feb 19, 2025 | ||
| Stephen Thompson | Corporate Officer | Jan 1, 2023 | |
| Operational/Managerial Control | Jan 1, 2023 | ||
| Adp of the SNF | Jan 1, 2023 | ||
| East West Bank | Adp of the SNF | Nov 1, 2009 | |
| Frank Jurado | Adp of the SNF | Jan 1, 2023 | |
| Vern J Brady | 5% Or Greater Indirect Ownership Interest | Jun 26, 2014 | 31.95% |
| Corporate Officer | Jun 26, 2014 | ||
| Corporate Director | Jun 26, 2014 | ||
| Adp of the SNF | May 26, 2020 | ||
| Rajendra Prasad | Operational/Managerial Control | Jun 1, 2019 | |
| Adp of the SNF | Jun 1, 2019 | ||
| Shruty Parti | Indirect Ownership Interest | Jan 20, 2015 | 4.08% |
| Moss Adams LLP | Adp of the SNF | Nov 1, 2009 | |
| Peter Bradshaw | Indirect Ownership Interest | Jul 7, 2023 | 0.09% |
| Rajesh Parti | Indirect Ownership Interest | Jan 20, 2015 | 4.08% |
| Acsb LLC | 5% Or Greater Direct Ownership Interest | Jun 26, 2014 | 100% |
| Operational/Managerial Control | Jan 20, 2015 | ||
| Adp of the SNF | Jan 20, 2015 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1427119536
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 21
Facilities that share an organizational owner with 5% or greater ownership or operational control.
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": "1403913600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1403913600000",
"number": "1801201843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5240 SEPULVEDA BLVD",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902305214",
"telephone_number": "310-391-7266",
"fax_number": "310-391-4998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5240 SEPULVEDA BLVD",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902305214",
"telephone_number": "310-391-7266",
"fax_number": "310-391-4998"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACSB, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-28",
"last_updated": "2014-06-28",
"status": "A",
"authorized_official_last_name": "BRADSHAW",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "J",
"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": "Marina Pointe Subacute",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2014; 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.