Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

California Convalescent Center 1 Inc

Organization Skilled Nursing Facility · NPI 1164728143

California Convalescent Center 1 Inc is a Skilled Nursing Facility in Los Angeles, California. Medicare rates this nursing home 1 out of 5. Licensed in California.

CMS rating
1 of 5
Licensed in
CA
In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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CMS quality rating

1 out of 5 — official nursing home rating from CMS Care Compare (CCN 055461)
Health inspection1.0 / 5
Staffing2.0 / 5
Quality measures4.0 / 5
OwnershipFor profit - Individual

Practice location Address checks out

909 S Lake St
Los Angeles, CA 90006-2113
Phone: (213) 385-7301
Fax: (213) 385-0539
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 970000065 (CA)

Record details

NPI number1164728143
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Evelyn Bonifacio — Corporate Secretary · (213) 385-7301
NPI enumeratedFebruary 8, 2011
Last updated in NPPESFebruary 8, 2011
Mailing address909 S Lake St, Los Angeles, CA 90006-2113

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