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California Convalescent Center 1 Inc

Skilled Nursing Facility in Los Angeles, CA · enumerated 2011 · authorized official Evelyn Bonifacio, Corporate Secretary.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164728143

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Registry record

Entity type Organization (Type 2)
Legal business name California Convalescent Center 1 Inc
Practice address 909 S Lake St, Los Angeles, CA, 90006
Phone (213) 385-7301
Fax (213) 385-0539
Enumeration date Feb 8, 2011
Last updated in NPPES Feb 8, 2011

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 970000065 (CA) Primary

Authorized official

Name Evelyn Bonifacio
Title Corporate Secretary
Phone (213) 385-7301

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-02-08. Verify at npiregistry.cms.hhs.gov.
Where is California Convalescent Center 1 Inc located?
The practice location on file with NPPES is in Los Angeles, CA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-02-08.