PARK ANAHEIM HEALTHCARE CENTER
NPI 1851460240
Skilled Nursing Facility in Anaheim, CA

Active since November 07, 2006CLIA 05D0885673 · Waiver
4/5
Overall Rating
3435 W BALL RD, ANAHEIM, CA 92804(714) 827-5880(714) 827-8815 Get Directions Write a Review

NPPES record last updated: May 10, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Park Anaheim Healthcare Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PARK ANAHEIM HEALTHCARE CENTER (NPI 1851460240) is a healthcare organization registered as a skilled nursing facility in Anaheim, California and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through April 27, 2028 and lists David Friedman, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1851460240
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePARK ANAHEIM HEALTH CARE, LLC
Location Address3435 W BALL RDAnaheim, CA 92804-3708
Mailing Address4032 Wilshire Blvd Fl 6Los Angeles, CA 90010-3425 · (213) 389-6900 · Fax (213) 368-8560
Fax(714) 827-8815
Organization SubpartNo
Authorized OfficialDavid FriedmanManaging Member · (213) 389-6900
Enumeration DateNovember 7, 2006
Last NPPES UpdateMay 10, 2018
✔ NPI 1851460240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in CA · 060000094
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
3435 W BALL RD, Anaheim, CA 92804

Other Names 1

Doing Business AsPark Anaheim Healthcare Center

Other Identifiers 2

MedicaidLTC70120FCA
MedicaidLTC55035GCA

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Park Anaheim Healthcare Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20110524000109Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Park Anaheim Healthcare Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1831227669
3010 W ORANGE AVE STE 503
Anaheim, CA 92804
(714) 821-8250
✔ PECOS1.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0885673

Park Anaheim Healthcare Center · Anaheim, CA
Active · expires Apr 27, 2028
CLIA Number05D0885673
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateApril 28, 2026
Certificate Expiration DateApril 27, 2028
Laboratory DirectorFariborz Shams, Do
Laboratory Phone(714) 827-5880
Laboratory LocationPark Anaheim Healthcare Center3435 W Ball Rd, Anaheim, CA 92804
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Park Anaheim Healthcare Center (CMS certification number 555035), from CMS Care Compare.

Park Anaheim Healthcare Center

Nursing home · Anaheim, CA
4/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number555035
Certified Beds115 beds110 residents per day on average
Medicare & Medicaid Participant SinceNovember 23, 1976
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
3/5
Long-Stay Quality
Quality of care delivered to long-term residents.
3/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
4/5
Staffing
Based on nursing staff hours relative to resident needs.
2/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
61.33
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.38 · LPN 1.77 · RN 0.59
4.74 hrs per resident per day
Weekend Nurse Staffing
4.48 hrs per resident per day
Physical Therapist Staffing
0.04 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
20.8%
Registered Nurse Turnover
6.7%
Administrators Who Have Left
In the past year.
2
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
3
Fines
1 totaling $650.00
Medicare Payment Denials
0
Total Penalties
1
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Park Anaheim Health Care, LLC's NPI number?

The NPI number for Park Anaheim Health Care, LLC is 1851460240. It was assigned to this organization in the NPPES registry on November 7, 2006. The provider is doing business as Park Anaheim Healthcare Center.

Where is Park Anaheim Health Care, LLC located?

Park Anaheim Health Care, LLC is located at 3435 W Ball Rd, Anaheim, CA 92804. The listed phone number is (714) 827-5880.

What is Park Anaheim Health Care, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Is Park Anaheim Health Care, LLC enrolled in Medicare?

Yes. Park Anaheim Health Care, LLC is registered in the Medicare PECOS enrollment system.

When is Park Anaheim Health Care, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Park Anaheim Health Care, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Park Anaheim Health Care, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Park Anaheim Health Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0885673) is associated with this NPI, valid through April 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Park Anaheim Health Care, LLC a Medicare-certified nursing home?

Yes. Park Anaheim Healthcare Center is a Medicare-certified nursing home with 115 certified beds.

What quality rating does Park Anaheim Health Care, LLC have?

CMS rates Park Anaheim Healthcare Center 4 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Park Anaheim Health Care, LLC was last updated on May 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.