Active NPI
Aoas, LLC
- Skilled Nursing Facility
- Oakland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- AOAS, LLC
- Practice address
- 1850 Alice St
Oakland, CA 94612-4175 - Phone
- (510) 835-5511
- NPI assigned
- Apr 1, 2022
- Last updated
- Apr 1, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey Bradshaw
- Title
- Manager
- Phone
- (949) 347-7100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
1850 Alice St
Oakland, CA 94612-4175
Mailing address
28202 Cabot Rd Ste 412
Laguna Niguel, CA 92677-1271
Phone (949) 347-7100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230420001698 | CA | Part A Provider - Skilled Nursing Facility | 6406233766 | Practice locations: Oakland, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1023759362. Details of each certification follow.
Skilled nursing facility certification: CCN 555113
- Legal name
- AOAS, LLC
- Doing business as
- LAKE PARK HEALTHCARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF (Medicare) only
- Participating since
- Jul 1, 1979
- Last certification
- Nov 7, 2024
- Beds
- 35
- Ownership / control type
- Corporation
- Multi-facility organization
- Aspen Healthcare
- Most recent change of ownership
- Dec 6, 2022
- Organization structure
- LLC
- Incorporated
- Mar 18, 2022 in CA
- Enrollment address
- 1850 Alice St
Oakland, CA 94612-4175 - Nursing home name
- LAKE PARK HEALTHCARE CENTER
- Affiliated entity
- ASPEN SKILLED HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Lake Park Healthcare Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- For profit - Corporation
- Certified
- Jul 1, 1979
- Medicare certification status
- Active
- Certified beds
- 35
- Chain
- Aspen Skilled Healthcare
- Penalties (3 years)
- 2
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 24
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Craig Orgill | Indirect Ownership Interest | Sep 12, 2023 | 1.3% |
| Jared Kirkwood | Indirect Ownership Interest | Sep 12, 2023 | 0.3% |
| Adam Brown | Operational/Managerial Control | Sep 12, 2023 | |
| Adp of the SNF | Sep 12, 2023 | ||
| Colton Rawe | Corporate Officer | Sep 12, 2023 | |
| Operational/Managerial Control | Sep 12, 2023 | ||
| Adp of the SNF | Sep 12, 2023 | ||
| Eric Elsner | Indirect Ownership Interest | Sep 12, 2023 | 4.08% |
| Jeffrey J Bradshaw | 5% Or Greater Indirect Ownership Interest | Sep 12, 2023 | 22.25% |
| Corporate Officer | Mar 18, 2022 | ||
| Adp of the SNF | Sep 12, 2023 | ||
| Adp of the SNF | Jun 9, 2025 | ||
| Sequoia Healthcare Group LLC | 5% Or Greater Indirect Ownership Interest | Sep 12, 2023 | 100% |
| Adp of the SNF | Sep 12, 2023 | ||
| Ryan M Case | 5% Or Greater Indirect Ownership Interest | Sep 12, 2023 | 31.77% |
| Corporate Officer | Mar 18, 2022 | ||
| Adp of the SNF | Sep 12, 2023 | ||
| Marcus J Paxman | Adp of the SNF | Sep 12, 2023 | |
| Indirect Ownership Interest | Sep 12, 2023 | 0.01% | |
| Aspen Skilled Healthcare Inc | 5% Or Greater Indirect Ownership Interest | Sep 12, 2023 | 100% |
| Aspen Healthcare Services LLC | Adp of the SNF | Sep 12, 2023 | |
| Aspen Healthcare Services LLC | Adp of the SNF | Sep 12, 2023 | |
| Wells Fargo Bank, National Association | Adp of the SNF | Sep 12, 2023 | |
| Aoas, LLC | 5% Or Greater Direct Ownership Interest | Sep 12, 2023 | 100% |
| Operational/Managerial Control | Sep 12, 2023 | ||
| Adp of the SNF | Sep 12, 2023 | ||
| Adp of the SNF | Nov 6, 2025 | ||
| Gurpreet Dhugga | Operational/Managerial Control | Mar 1, 2025 | |
| Adp of the SNF | Mar 1, 2025 | ||
| East West Bank | Adp of the SNF | Sep 12, 2023 | |
| Frank Jurado | Adp of the SNF | Sep 12, 2023 | |
| Vern J Brady | 5% Or Greater Indirect Ownership Interest | Sep 12, 2023 | 31.95% |
| Corporate Officer | Mar 18, 2022 | ||
| Adp of the SNF | Sep 12, 2023 | ||
| Shruty Parti | Indirect Ownership Interest | Sep 12, 2023 | 4.08% |
| Moss Adams LLP | Adp of the SNF | Sep 12, 2023 | |
| Peter Bradshaw | Indirect Ownership Interest | Sep 12, 2023 | 0.09% |
| Rajesh Parti | Indirect Ownership Interest | Sep 12, 2023 | 4.08% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Fairfield, CA
- NPI 1356429161
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 22
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Marina Pointe Subacute
- Skilled Nursing Facility
- Culver City, CA
- NPI 1801201843
Aspen Skilled Healthcare Inc
-
dba Kei-Ai Los Angeles Healthcare Center
- Skilled Nursing Facility
- Los Angeles, CA
- NPI 1619347465
Aspen Skilled Healthcare Inc
-
- Skilled Nursing Facility
- Los Gatos, CA
- NPI 1487987772
Aspen Skilled Healthcare Inc, Sequoia Healthcare Group LLC
-
dba Lodi Nursing & Rehabilitation
- Skilled Nursing Facility
- Lodi, CA
- NPI 1861868721
Aspen Skilled Healthcare Inc
-
dba Country Crest Post-Acute
- Skilled Nursing Facility
- Oroville, CA
- NPI 1477209237
Aspen Skilled Healthcare Inc, Sequoia Healthcare Group LLC
-
- Skilled Nursing Facility
- Oakland, CA
- NPI 1407272487
Aspen Skilled Healthcare Inc, Sequoia Healthcare Group LLC
-
dba Petaluma Post-Acute Rehabilitation
- Skilled Nursing Facility
- Petaluma, CA
- NPI 1205316833
Aspen Skilled Healthcare Inc, Sequoia Healthcare Group LLC
-
dba Berkley West Healthcare Center
- Skilled Nursing Facility
- Santa Monica, CA
- NPI 1245865682
Aspen Skilled Healthcare Inc
-
dba Riverwood Healthcare Center
- Skilled Nursing Facility
- Stockton, CA
- NPI 1639519986
Aspen Skilled Healthcare Inc, Sequoia Healthcare Group LLC
-
dba Hillcrest Heights Healthcare Center
- Skilled Nursing Facility
- San Diego, CA
- NPI 1558825067
Aspen Skilled Healthcare Inc
Practitioners & affiliated clinicians
Affiliated clinicians 1
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": "1648771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1648771200000",
"number": "1023759362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28202 CABOT RD STE 412",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926771271",
"telephone_number": "949-347-7100",
"fax_number": "949-347-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 ALICE ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946124175",
"telephone_number": "510-835-5511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AOAS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-01",
"last_updated": "2022-04-01",
"certification_date": "2022-04-01",
"status": "A",
"authorized_official_last_name": "BRADSHAW",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "949-347-7100"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.