Organization Active NPI

Aoas, LLC

  • Skilled Nursing Facility
  • Oakland, CA
National Provider Identifier
1023759362
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 CenterCCN 555113 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare
Ownership
For profit - Corporation
Certified
Jul 1, 1979
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3531.4 residents per day on average
Chain
Aspen Skilled Healthcare35 facilities in the chain
Penalties (3 years)
2Fines totaling $17,996

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Craig Orgill Individual Indirect Ownership Interest Sep 12, 2023 1.3%
Jared Kirkwood Individual Indirect Ownership Interest Sep 12, 2023 0.3%
Adam Brown Individual Operational/Managerial Control Sep 12, 2023
Adp of the SNF Sep 12, 2023
Colton Rawe Individual Corporate OfficerLLC Manager Sep 12, 2023
Operational/Managerial Control Sep 12, 2023
Adp of the SNF Sep 12, 2023
Eric Elsner Individual Indirect Ownership Interest Sep 12, 2023 4.08%
Jeffrey J Bradshaw Individual 5% Or Greater Indirect Ownership Interest Sep 12, 2023 22.25%
Corporate OfficerManager Mar 18, 2022
Adp of the SNF Sep 12, 2023
Organization, San Diego, CA LLC, For-profit Adp of the SNF Jun 9, 2025
Sequoia Healthcare Group LLC Organization, Laguna Niguel, CA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 12, 2023 100%
Adp of the SNF Sep 12, 2023
Ryan M Case Individual 5% Or Greater Indirect Ownership Interest Sep 12, 2023 31.77%
Corporate OfficerManager Mar 18, 2022
Adp of the SNF Sep 12, 2023
Marcus J Paxman Individual Adp of the SNF Sep 12, 2023
Indirect Ownership Interest Sep 12, 2023 0.01%
Aspen Skilled Healthcare Inc Organization, Laguna Niguel, CA Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 12, 2023 100%
Aspen Healthcare Services LLC Organization, Laguna Niguel, CA LLC, Consulting firm, For-profit Adp of the SNF Sep 12, 2023
Aspen Healthcare Services LLC Organization, Laguna Niguel, CA LLC, Consulting firm, For-profit, Chain home office Adp of the SNF Sep 12, 2023
Wells Fargo Bank, National Association Organization, San Franisco, CA Corporation, Financial institution, For-profit Adp of the SNF Sep 12, 2023
Aoas, LLC Organization, Laguna Niguel, CA Created for acquisition, LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 12, 2023 100%
Operational/Managerial Control Sep 12, 2023
Adp of the SNF Sep 12, 2023
Organization, San Diego, CA LLC, For-profit Adp of the SNF Nov 6, 2025
Gurpreet Dhugga Individual Operational/Managerial Control Mar 1, 2025
Adp of the SNF Mar 1, 2025
East West Bank Organization, Pasadena, CA Corporation, Financial institution, For-profit Adp of the SNF Sep 12, 2023
Frank Jurado Individual Adp of the SNF Sep 12, 2023
Vern J Brady Individual 5% Or Greater Indirect Ownership Interest Sep 12, 2023 31.95%
Corporate OfficerManager Mar 18, 2022
Adp of the SNF Sep 12, 2023
Shruty Parti Individual Indirect Ownership Interest Sep 12, 2023 4.08%
Moss Adams LLP Organization, Irvine, CA For-profit Adp of the SNF Sep 12, 2023
Peter Bradshaw Individual Indirect Ownership Interest Sep 12, 2023 0.09%
Rajesh Parti Individual 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.

Facilities with the same owner 22

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

View all 22

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

Verify at the official NPI Registry.