Pacific Palms Healthcare, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PACIFIC PALMS HEALTHCARE, LLC

Doing business as

Pacific Palms Healthcare

Practice address

1020 Termino Ave
Long Beach, CA 90804-4123

Phone

(562) 433-6791

Fax

(562) 433-9801

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Emmanuel B David

Title

Governing Board Member

Phone

(310) 320-6319

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pacific Palms Healthcare Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972719037. Details of each certification follow.

• CCN 056164 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 056164

Legal name

PACIFIC PALMS HEALTHCARE LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 6, 1970

Last certification

Oct 10, 2024

Beds

133

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Enrollment address

1020 Termino Ave
Long Beach, CA 90804-4123

Nursing home name

PACIFIC PALMS HEALTHCARE

Affiliated entity

CHARIS TRUST DTD 12/22/16

Listed as

Pacific Palms HealthcareCCN 056164 · All quality measures

Overall star rating

2 of 5

Health inspections

1 of 5

Staffing

4 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Mar 6, 1970

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

133116.3 residents per day on average

Chain

Charis Trust DTD 12/22/166 facilities in the chain

Penalties (3 years)

1Fines totaling $19,475

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Chok Ping Wan, M.D.

  • Internal Medicine Physician
  • Long Beach, CA
  • NPI 1346346616

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Michael Tehrani, M.D.

  • Internal Medicine Physician
  • Long Beach, CA
  • NPI 1427320704

  Nursing home

  Care Compare affiliation
• Chok Ping Wan, M.D.

  • Internal Medicine Physician
  • Long Beach, CA
  • NPI 1346346616

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972719037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 TERMINO AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908044123",
            "telephone_number": "562-433-6791",
            "fax_number": "562-433-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 TERMINO AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908044123",
            "telephone_number": "562-433-6791",
            "fax_number": "562-433-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC PALMS HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "GOVERNING BOARD MEMBER",
        "authorized_official_telephone_number": "310-320-6319",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT06164G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Palms Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pacific Horizons of California
• Pacific Hospital of Long Beach
• Pacific Internal Medicine Group
• Pacific Internal Medicine Group of Long Beach
• Pacific Mental Health Partners
• Pacific Plaza Pharmacy,Inc.
• Pacific Psych Solutions Inc
• Pacific Rejuvination Medical a Professional Corp
• Pacific Resources Psychological Group
• Pacific Shores Medical Group, Inc.

• Skilled Nursing Facility in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.