Active NPI
Brighton Convalescent, LLC
Doing business as Brighton Convalescent Center
- Skilled Nursing Facility
- Pasadena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 970000194
- Legal business name
- BRIGHTON CONVALESCENT, LLC
- Doing business as
- Brighton Convalescent Center
- Practice address
- 1836 N Fair Oaks Ave
Pasadena, CA 91103-1619 - Phone
- (626) 512-2595
- Fax
- (626) 794-2964
- NPI assigned
- Mar 14, 2013
- Last updated
- Jan 15, 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
- Cipriano Bautista
- Title
- Member
- Phone
- (626) 512-2595
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 970000194 | CA | Primary |
Addresses
Primary practice location
1836 N Fair Oaks Ave
Pasadena, CA 91103-1619
Mailing address
1836 N Fair Oaks Ave
Pasadena, CA 91103-1619
Phone (626) 798-9124
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912248972 | Medicaid | CA |
Other names 1
- Brighton Convalescent Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130703000155 | CA | Part A Provider - Skilled Nursing Facility | 7618117268 | Practice locations: Pasadena, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1912248972. Details of each certification follow.
Skilled nursing facility certification: CCN 555338
- Legal name
- BRIGHTON CONVALESCENT, LLC
- Doing business as
- BRIGHTON CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 10, 1989
- Last certification
- Dec 12, 2024
- Beds
- 99
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Incorporated
- Feb 15, 2013 in CA
- Enrollment address
- 1836 N Fair Oaks Ave
Pasadena, CA 91103-1619 - Nursing home name
- BRIGHTON CARE CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Brighton Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Feb 10, 1989
- Medicare certification status
- Active
- Certified beds
- 99
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Nancy Thom | Operational/Managerial Control | Dec 4, 2024 | |
| Adp of the SNF | Dec 4, 2024 | ||
| Adp of the SNF | Dec 1, 2025 | ||
| Nvard Teroganesyan | Operational/Managerial Control | Jan 1, 2022 | |
| Adp of the SNF | Jan 1, 2022 | ||
| Adp of the SNF | Jul 9, 2003 | ||
| Adp of the SNF | Feb 1, 2023 | ||
| Adp of the SNF | Dec 28, 2025 | ||
| Adp of the SNF | Jun 18, 2025 | ||
| Todd Turner | Operational/Managerial Control | Sep 9, 2019 | |
| Adp of the SNF | Sep 9, 2019 | ||
| Raul Navarro | Operational/Managerial Control | Feb 6, 2025 | |
| Adp of the SNF | Feb 6, 2025 | ||
| Robert Barrett | 5% Or Greater Direct Ownership Interest | Feb 15, 2013 | 50% |
| Operational/Managerial Control | Apr 28, 2013 | ||
| Managing Control - Governing Body | Feb 15, 2013 | ||
| Adp of the SNF | Apr 28, 2013 | ||
| Rhina Navarro | Operational/Managerial Control | Jan 1, 2022 | |
| Adp of the SNF | Jan 1, 2022 | ||
| Adp of the SNF | Apr 1, 2024 | ||
| Jowell Ovenson | Operational/Managerial Control | Mar 24, 2025 | |
| Adp of the SNF | Mar 24, 2025 | ||
| Teresita Hamor | Operational/Managerial Control | Jan 1, 2022 | |
| Adp of the SNF | Jan 1, 2022 | ||
| John Rogers | Operational/Managerial Control | Apr 1, 2014 | |
| Adp of the SNF | Apr 1, 2014 | ||
| Jacinto Janabajal | Operational/Managerial Control | Nov 15, 2024 | |
| Adp of the SNF | Nov 15, 2024 | ||
| Marisa S Lim | Operational/Managerial Control | Mar 25, 2025 | |
| Adp of the SNF | Mar 25, 2025 | ||
| Cipriano Bautista | 5% Or Greater Direct Ownership Interest | Feb 15, 2013 | 50% |
| Operational/Managerial Control | Apr 28, 2013 | ||
| Managing Control - Governing Body | Feb 15, 2013 | ||
| Adp of the SNF | Apr 28, 2013 |
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
- Pasadena, CA
- NPI 1912971763
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Affiliated clinicians 3
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": "1363219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389744000000",
"number": "1912248972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1836 N FAIR OAKS AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911031619",
"telephone_number": "626-798-9124",
"fax_number": "626-794-2964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1836 N FAIR OAKS AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911031619",
"telephone_number": "626-512-2595",
"fax_number": "626-794-2964"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIGHTON CONVALESCENT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-14",
"last_updated": "2014-01-15",
"status": "A",
"authorized_official_last_name": "BAUTISTA",
"authorized_official_first_name": "CIPRIANO",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "626-512-2595"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": "970000194",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1912248972",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Brighton Convalescent Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.