Organization Active NPI

Santa Fe Lodge LLC

  • Skilled Nursing Facility
  • El Monte, CA
National Provider Identifier
1851763908
Registry record updated Jun 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SANTA FE LODGE LLC
Practice address
5053 Peck Rd
El Monte, CA 91732-1456
Phone
(626) 448-4248
NPI assigned
Oct 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2017

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

Authorized official

Name
David Friedman
Title
Managing Member
Phone
(213) 389-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

5053 Peck Rd
El Monte, CA 91732-1456

Mailing address

4032 Wilshire Blvd FL 6
Los Angeles, CA 90010-3425
Phone (213) 389-6900

Other identifiers 1

IdentifierTypeStateIssuer
1851763908MedicaidCA

Other names 1

  • Santa Fe Lodge Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170622001835 CA Part A Provider - Skilled Nursing Facility 6406159243 Practice locations: El Monte, CA

Skilled nursing facility certification: CCN 555106

Legal name
SANTA FE LODGE LLC
Doing business as
SANTA FE LODGE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 16, 1978
Last certification
Mar 20, 2025
Beds
46
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
5053 Peck Rd
El Monte, CA 91732-1456
Nursing home name
SANTA FE LODGE
Affiliated entity
LONGWOOD MANAGEMENT CORPORATION

Care Compare: Nursing home

Medicare Care Compare
Listed as
Santa Fe LodgeCCN 555106
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
Nov 16, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4644.4 residents per day on average
Chain
Longwood Management Corporation38 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
05D0562979Santa Fe Lodge5053 N Peck Rd, El Monte, CA 91732Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 29

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

NameRoleSinceShare
Aaron Friedman Individual Trustee of the SNF Jun 30, 2023
Adp of the SNF Jun 30, 2023
Libby Lehmann Individual Trustee of the SNF Jun 30, 2023
Rachel Klavan Individual Trustee of the SNF Jun 30, 2023
Organization, Portland, OR Investment firm, For-profit Adp of the SNF Jun 30, 2023
Lehmann Family 1991 Trust Organization, Los Angeles, CA For-profit 5% Or Greater Direct Ownership Interest Jun 30, 2023 20%
Individual Adp of the SNF Jun 30, 2023
Organization, Portland, OR LLC, For-profit Adp of the SNF Jun 30, 2023
The Klavan Family Trust Organization, Los Angeles, CA For-profit 5% Or Greater Direct Ownership Interest Jun 30, 2023 20%
Joshua Klavan Individual Operational/Managerial Control Dec 1, 2022
Adp of the SNF Nov 16, 1986
Shmuel Notis Individual Trustee of the SNF Jun 30, 2023
Ira David Friedman Group a Business Assets Trust Organization, Los Angeles, CA For-profit Adp of the SNF Jun 30, 2023
Christine Maramba Individual Operational/Managerial Control Feb 3, 2025
Adp of the SNF Feb 3, 2025
Aaron Friedman Group a Business Assets Trust Organization, Los Angeles, CA For-profit Adp of the SNF Jun 30, 2023
Noel Estandarte Individual Operational/Managerial Control Jun 12, 2023
Adp of the SNF Jun 12, 2023
Organization, Portland, OR LLC, Consulting firm, For-profit Adp of the SNF Jun 30, 2023
Organization, Portland, OR Corporation, For-profit Adp of the SNF Jun 30, 2023
Yan P Zhang Individual Operational/Managerial Control Jan 1, 1966
Adp of the SNF Jan 12, 2016
Libby Friedman Lehmann Group a Business Assets Trust Organization, Los Angeles, CA For-profit Adp of the SNF Jun 30, 2023
Longwood Management LLC Organization, Los Angeles, CA LLC, For-profit, Chain home office Adp of the SNF Jan 1, 2023
The Tzippy Friedman Notis 1990 Trust Organization, Los Angeles, CA For-profit 5% Or Greater Direct Ownership Interest Jun 30, 2023 20%
Ruchel Friedman Klavan Group a Business Assets Trust Organization, Los Angeles, CA For-profit Adp of the SNF Jun 30, 2023
Organization, Portland, OR Holding company, For-profit Adp of the SNF Jun 30, 2023
Organization, Chicago, IL LLC, Holding company, For-profit Adp of the SNF Jun 30, 2023
Ira D Friedman 1991 Trust Organization, Los Angeles, CA 5% Or Greater Direct Ownership Interest Jun 30, 2023 20%
FLT Acquisitions LLC Organization, Los Angeles, CA LLC, For-profit Adp of the SNF Jun 30, 2023
Friedman Family Trust Organization, Los Angeles, CA 5% Or Greater Direct Ownership Interest Jun 30, 2023 20%
Organization, Chicago, IL LLC, For-profit Adp of the SNF Jun 30, 2023
Ira David Friedman Individual Corporate OfficerPresident Jun 30, 2023
Operational/Managerial Control Jun 30, 2023
Trustee of the SNF Jun 30, 2023
Adp of the SNF Jun 30, 2023
Zaid Pervaiz Individual Adp of the SNF Jan 1, 2013

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 24

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

View all 24

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497398400000",
    "number": "1851763908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4032 WILSHIRE BLVD FL 6",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103425",
            "telephone_number": "213-389-6900",
            "fax_number": "213-368-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5053 PECK RD",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917321456",
            "telephone_number": "626-448-4248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA FE LODGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2017-06-14",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "213-389-6900"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851763908",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Fe Lodge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Monte, CA

Sources for this page

Verify at the official NPI Registry.