NPIMap

Organization Active NPI

Pacifica Linda Mar Inc.

Doing business as Linda Mar Care Center

  • Skilled Nursing Facility
  • Pacifica, CA
National Provider Identifier
1003891516
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
220000095 Issued in CA
Legal business name
PACIFICA LINDA MAR INC.
Doing business as
Linda Mar Care Center
Practice address
751 San Pedro Terrace Rd
Pacifica, CA 94044-4101
Phone
(650) 359-4800
NPI assigned
Dec 7, 2005
Last updated
Apr 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marc Johnson
Title
Cfo
Phone
(949) 373-8373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 220000095 CA Primary

Addresses

Primary practice location

751 San Pedro Terrace Rd
Pacifica, CA 94044-4101

Mailing address

25910 Acero Ste 350
Mission Viejo, CA 92691-7908
Phone (949) 441-9258

Other identifiers 1

IdentifierTypeStateIssuer
ZZR05116KMedicaidCA

Other names 1

  • LINDA MAR CARE CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120309000302 CA Part A Provider - Skilled Nursing Facility 3476720590 Practice locations: Pacifica, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003891516. Details of each certification follow.

Skilled nursing facility certification: CCN 055116

Legal name
PACIFICA LINDA MAR INC.
Doing business as
LINDA MAR CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 1, 1972
Last certification
Jan 27, 2025
Beds
59
Ownership / control type
Corporation
Multi-facility organization
North American HealthCare
Organization structure
CorporationProprietary
Incorporated
May 21, 1999 in NV
Enrollment address
751 San Pedro Terrace Rd
Pacifica, CA 94044-4101
Nursing home name
LINDA MAR CARE CENTER
Affiliated entity
NAHS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Linda Mar Care CenterCCN 055116 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Nov 1, 1972
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5946.0 residents per day on average
Chain
Nahs12 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0877876Linda Mar Care Center751 San Pedro Terrace Road, Pacifica, CA 94044Certificate of waiverOct 11, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Nahs Employee Stock Ownership Trust Organization, Mission Viejo, CA 5% Or Greater Indirect Ownership Interest Jun 30, 2018 100%
Nahs Holding Inc Organization, Mission Viejo, CA Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jun 30, 2018 100%
James Ellis-Sherinian Individual Corporate DirectorDirector Mar 21, 2018
Nahs North Inc Organization, Mission Viejo, CA Corporation, Holding company, For-profit 5% Or Greater Direct Ownership Interest Jun 30, 2018 100%
Victor G Lundquist Individual Corporate OfficerSecretary Mar 21, 2018
Joanne Lane Individual Corporate OfficerOfficer Oct 20, 2023
Corporate Director Feb 1, 2023
Operational/Managerial ControlAdministrator / President Oct 20, 2023
Marc Johnson Individual Corporate Officer Nov 20, 2022

Facilities with the same owner 10

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1003891516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25910 ACERO STE 350",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926917908",
            "telephone_number": "949-441-9258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 SAN PEDRO TERRACE RD",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940444101",
            "telephone_number": "650-359-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFICA LINDA MAR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-07",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "949-373-8373"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "220000095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR05116K",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LINDA MAR CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LINDA MAR CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pacifica, CA

Sources for this page

Verify at the official NPI Registry.