533 South Fairfax Avenue Inc
NPI 1639166242ActiveOrganization· Skilled Nursing Facility· Los Angeles, CA
Skilled Nursing Facility in Los Angeles, California, registered in NPPES in September 2005. The authorized official on file is John Henry Sy, Vp Of Revenue Management. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1639166242 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 29, 2005 |
| Last updated in NPPES | May 28, 2026 |
| Certified by provider | May 28, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 910000146 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (CA) |
|---|
Other Skilled Nursing Facility providers in Los Angeles
- 1114291523
- 1811211915
- 1730266883
- 1861489668
- 1619347465
- 1568544781
- 1760470736
- 1487082988
- 1114132685
- 1831724509
- 1902993298
- 1609927268