California Convalescent Center 1 Inc
NPI 1164728143 · Skilled Nursing Facility · Los Angeles, CA
California Convalescent Center 1 Inc is a Skilled Nursing Facility organization in Los Angeles, CA (NPI 1164728143).
Provider details
- NPI number
- 1164728143
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Evelyn Bonifacio, Corporate Secretary(213) 385-7301
- License
- 970000065 (CA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-02-08
- Last updated
- 2011-02-08
Frequently asked questions
- What is California Convalescent Center 1 Inc's NPI number?
- California Convalescent Center 1 Inc's National Provider Identifier (NPI) is 1164728143, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is California Convalescent Center 1 Inc?
- California Convalescent Center 1 Inc is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is California Convalescent Center 1 Inc located?
- California Convalescent Center 1 Inc's practice location on file with NPPES is 909 S Lake St, Los Angeles, CA 90006-2113.
- What is California Convalescent Center 1 Inc's phone number?
- The practice phone number listed in the NPPES registry for California Convalescent Center 1 Inc is (213) 385-7301.
- Who is the authorized official for California Convalescent Center 1 Inc?
- The authorized official listed on California Convalescent Center 1 Inc's NPPES record is Evelyn Bonifacio, Corporate Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is California Convalescent Center 1 Inc's NPI active?
- Yes — California Convalescent Center 1 Inc's NPI (1164728143) is active in the NPPES registry as of the last update on 2011-02-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.