OrganizationActive
1130 W La Palma Ave Inc
NPI 1881681559 · Skilled Nursing Facility · Anaheim, CA
Provider details
- NPI number
- 1881681559
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- John Sy, Vp of Revenue Management(562) 930-0777
- License
- 060000227 (CA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
1130 W La Palma Ave
Anaheim, CA 92801-2803
Phone: (714) 772-7480
Fax: (714) 776-1841
Street-level locationGet directions
Mailing address
4115 E Broadway
Long Beach, CA 90803-1532
Other names (DBA / former)
- Doing business as
- La Palma Nursing Center
Registry dates
- Enumerated
- 2005-09-28
- Last updated
- 2026-05-28
- Certified
- 2026-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.