San Pedro Convalescent Home, Inc.
NPI 1306914775 · Skilled Nursing Facility · San Pedro, CA
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
San Pedro Convalescent Home, Inc. is a Skilled Nursing Facility organization in San Pedro, CA (NPI 1306914775).
Provider details
- NPI number
- 1306914775
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Celia Valdomar, Administrator(310) 832-6431
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
19 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
Other names (DBA / former)
- Doing business as
- Los Palos Convalescent Hospital
Registry dates
- Enumerated
- 2006-12-01
- Last updated
- 2008-03-06
Frequently asked questions
- What is San Pedro Convalescent Home, Inc.'s NPI number?
- San Pedro Convalescent Home, Inc.'s National Provider Identifier (NPI) is 1306914775, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is San Pedro Convalescent Home, Inc.?
- San Pedro Convalescent Home, Inc. is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is San Pedro Convalescent Home, Inc. located?
- San Pedro Convalescent Home, Inc.'s practice location on file with NPPES is 1430 W 6th St, San Pedro, CA 90732-3503.
- What is San Pedro Convalescent Home, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for San Pedro Convalescent Home, Inc. is (310) 832-6431.
- Does San Pedro Convalescent Home, Inc. accept Medicare?
- San Pedro Convalescent Home, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for San Pedro Convalescent Home, Inc.?
- The authorized official listed on San Pedro Convalescent Home, Inc.'s NPPES record is Celia Valdomar, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is San Pedro Convalescent Home, Inc.'s NPI active?
- Yes — San Pedro Convalescent Home, Inc.'s NPI (1306914775) is active in the NPPES registry as of the last update on 2008-03-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.