NPIMap

Organization Active NPI

KF Sunray LLC

  • Skilled Nursing Facility
  • Los Angeles, CA
National Provider Identifier
1972829257
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
KF SUNRAY LLC
Practice address
3210 West Pico Boulevard
Los Angeles, CA 90019
Phone
(323) 734-2171
Fax
(323) 734-1825
NPI assigned
Apr 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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

Authorized official

Name
Mr. Douglas Easton
Title
President
Phone
(714) 533-7818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3210 West Pico Boulevard
Los Angeles, CA 90019

Mailing address

3210 West Pico Boulevard
Los Angeles, CA 90019
Phone (323) 734-2171

Other identifiers 1

IdentifierTypeStateIssuer
1972829257MedicaidCA

Other names 1

  • Sunray Healthcare Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100804000629 CA Part A Provider - Skilled Nursing Facility 1658404132 Practice locations: Los Angeles, CA

Skilled nursing facility certification: CCN 055870

Legal name
KF SUNRAY LLC
Doing business as
SUNRAY HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 1, 1969
Last certification
Apr 24, 2025
Beds
99
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Kirkside Facility Operations, LLC
Organization structure
LLCProprietary
Incorporated
Jan 22, 2010 in CA
Enrollment address
3210 W Pico Boulevard
Los Angeles, CA 90019-3643
Nursing home name
SUNRAY HEALTHCARE CENTER
Affiliated entity
CAMBRIDGE HEALTHCARE SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Sunray Healthcare CenterCCN 055870
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Nov 1, 1969
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9976.6 residents per day on average
Chain
Cambridge Healthcare Services32 facilities in the chain
Special focus status
SFF
Penalties (3 years)
6Fines totaling $147,893

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Linda Lutz Individual Operational/Managerial Control Feb 1, 2012
Adp of the SNF Feb 1, 2012
Lance a Hassell Individual Operational/Managerial Control Apr 25, 2022
Adp of the SNF Apr 25, 2022
Cambridge Healthcare Services LLC Organization, Buena Park, CA LLC, Management services company, Chain home office Operational/Managerial Control Apr 1, 2014
Adp of the SNF Nov 7, 2025
Ira Smedra Individual Operational/Managerial ControlManager Jan 22, 2010
Adp of the SNF Jan 22, 2010
Indirect Ownership Interest Jan 22, 2010 2.75%
Norma Bulan Individual Operational/Managerial Control Jan 31, 2025
KSNF LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 22, 2010 80%
3210 West Pico LLC Organization, Queen Creek, AZ LLC Adp of the SNF Jan 25, 2007
Jacob Wintner Individual Operational/Managerial ControlManager Jan 22, 2010
Jacob Wintner Individual Adp of the SNF Jan 22, 2010
Paulina Salazar Individual Operational/Managerial Control Dec 14, 2020
Adp of the SNF Dec 14, 2020
Julie Butenko Individual Operational/Managerial Control Jul 24, 2023
Adp of the SNF Jul 24, 2023
KSNF II LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 20, 2017 20%
Kirkside Facilities Operations LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 22, 2010 100%
Brittany Brinley Individual Operational/Managerial Control May 1, 2024
Adp of the SNF May 1, 2024
Michael Abraham Individual Operational/Managerial Control Jan 8, 2024
Managing Control - Governing BodyAdministrator Jan 8, 2024
Adp of the SNF Nov 7, 2025
Kristina Kuizon Individual Operational/Managerial Control Apr 1, 2025
Managing Control - Governing BodyRegional Director of Operations Apr 1, 2025
Adp of the SNF Apr 1, 2025
Heidi Capela Individual Operational/Managerial Control Apr 3, 2023
Adp of the SNF Apr 3, 2023

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 28

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

View all 28

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1271030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1972829257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 WEST PICO BOULEVARD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90019",
            "telephone_number": "323-734-2171",
            "fax_number": "323-734-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 WEST PICO BOULEVARD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90019",
            "telephone_number": "323-734-2171",
            "fax_number": "323-734-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KF SUNRAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-12",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "EASTON",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-533-7818",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972829257",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunray Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.