Organization Active NPI

Brighton Convalescent, LLC

Doing business as Brighton Convalescent Center

  • Skilled Nursing Facility
  • Pasadena, CA
National Provider Identifier
1912248972
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
970000194 Issued in CA
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1912248972MedicaidCA

Other names 1

  • Brighton Convalescent Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 CenterCCN 555338 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Feb 10, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9987.8 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

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
Nancy Thom Individual Operational/Managerial Control Dec 4, 2024
Adp of the SNF Dec 4, 2024
Organization, Valencia, CA Corporation, Medical provider/supplier, For-profit Adp of the SNF Dec 1, 2025
Nvard Teroganesyan Individual Operational/Managerial Control Jan 1, 2022
Adp of the SNF Jan 1, 2022
Organization, Los Angeles, CA For-profit Adp of the SNF Jul 9, 2003
Individual Adp of the SNF Feb 1, 2023
Organization, Rancho Cucamonga, CA Corporation, Medical provider/supplier, For-profit Adp of the SNF Dec 28, 2025
Organization, Portland, OR LLC, Consulting firm, For-profit Adp of the SNF Jun 18, 2025
Todd Turner Individual Operational/Managerial Control Sep 9, 2019
Adp of the SNF Sep 9, 2019
Raul Navarro Individual Operational/Managerial Control Feb 6, 2025
Adp of the SNF Feb 6, 2025
Robert Barrett Individual 5% Or Greater Direct Ownership InterestMember Feb 15, 2013 50%
Operational/Managerial Control Apr 28, 2013
Managing Control - Governing BodyManaging Member Feb 15, 2013
Adp of the SNF Apr 28, 2013
Rhina Navarro Individual Operational/Managerial Control Jan 1, 2022
Adp of the SNF Jan 1, 2022
Individual Adp of the SNF Apr 1, 2024
Jowell Ovenson Individual Operational/Managerial Control Mar 24, 2025
Adp of the SNF Mar 24, 2025
Teresita Hamor Individual Operational/Managerial Control Jan 1, 2022
Adp of the SNF Jan 1, 2022
John Rogers Individual Operational/Managerial Control Apr 1, 2014
Adp of the SNF Apr 1, 2014
Jacinto Janabajal Individual Operational/Managerial Control Nov 15, 2024
Adp of the SNF Nov 15, 2024
Marisa S Lim Individual Operational/Managerial Control Mar 25, 2025
Adp of the SNF Mar 25, 2025
Cipriano Bautista Individual 5% Or Greater Direct Ownership InterestMember Feb 15, 2013 50%
Operational/Managerial Control Apr 28, 2013
Managing Control - Governing BodyManaging Member 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.

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

Verify at the official NPI Registry.