NPIMap

Organization Active NPI

Malcolm Healthcare, Inc.

Doing business as Alamitos West Health and Rehabilitation

  • Skilled Nursing Facility
  • Los Alamitos, CA
National Provider Identifier
1801643739
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MALCOLM HEALTHCARE, INC.
Doing business as
Alamitos West Health and Rehabilitation
Practice address
3902 Katella Ave
Los Alamitos, CA 90720-3304
Phone
(562) 596-5561
NPI assigned
Apr 30, 2024
Last updated
Apr 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Authorized official

Name
Soon Burnam
Title
Treasurer
Phone
(949) 540-1249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

3902 Katella Ave
Los Alamitos, CA 90720-3304

Mailing address

3902 Katella Ave
Los Alamitos, CA 90720-3304

Other names 1

  • Alamitos West Health and Rehabilitation Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0NhinService/XDRReesponse_Service Other eSolutions Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250509000086 CA Part A Provider - Skilled Nursing Facility 5991222317 Practice locations: Los Alamitos, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801643739. Details of each certification follow.

Skilled nursing facility certification: CCN 056169

Legal name
MALCOLM HEALTHCARE, INC.
Doing business as
ALAMITOS WEST HEALTH AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 1, 1978
Last certification
Sep 27, 2024
Beds
150
Ownership / control type
Individual
Organization structure
CorporationProprietary
Enrollment address
3902 Katella Ave
Los Alamitos, CA 90720-3304
Nursing home name
ALAMITOS WEST HEALTH & REHABILITATION
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Alamitos West Health & RehabilitationCCN 056169 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
May 1, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
150138.3 residents per day on average
Chain
The Ensign Group342 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Etsegenet T Ayele Individual Operational/Managerial Control Apr 1, 2025
Adp of the SNF Apr 1, 2025
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation 5% Or Greater Indirect Ownership Interest Apr 25, 2024 100%
Adam Willits Individual Corporate OfficerPresident of Flagstone Healthcare S Apr 25, 2024
Corporate DirectorDirector of Malcolm Healthcare, Inc Apr 25, 2024
Ami Sato Individual Corporate OfficerTreasurer of Malcolm Healthcare Inc Sep 9, 2024
Flagstone Healthcare South LLC Organization, San Juan Capistrano, CA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 25, 2024 100%
William Rand Looper Individual Corporate OfficerPresident of Malcolm Healthcare Inc Apr 25, 2024
Casey Cluff Individual Operational/Managerial Control Apr 1, 2025
Managing Control - Governing BodyAdministrator Apr 1, 2025
Adp of the SNF Apr 1, 2025
Soon Burnam Individual Corporate OfficerSecretary of Malcolm Healthcare Inc Apr 25, 2024

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 37

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

View all 37

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 12

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": "1714435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1801643739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3902 KATELLA AVE",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3902 KATELLA AVE",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203304",
            "telephone_number": "562-596-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALCOLM HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0NhinService/XDRReesponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Alamitos West Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Alamitos, CA

Sources for this page

Verify at the official NPI Registry.