NPIMap

Organization Active NPI

Masonic Homes of California

  • Nursing Facility/Intermediate Care Facility
  • Union City, CA
National Provider Identifier
1043426588
Registry record updated Sep 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
020000063 Issued in CA
Legal business name
MASONIC HOMES OF CALIFORNIA
Practice address
34400 Mission Blvd
Union City, CA 94587-3604
Phone
(510) 429-6465
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2015

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

Authorized official

Name
Mr. Franco Diamond, NHA, MS
Title
Administrator
Phone
(510) 429-6465

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 020000063 CA Primary

Addresses

Primary practice location

34400 Mission Blvd
Union City, CA 94587-3604

Mailing address

34400 Mission Blvd
Union City, CA 94587-3604
Phone (510) 429-6465

Other identifiers 1

IdentifierTypeStateIssuer
LTC 55843FMedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070131000319 CA Part A Provider - Skilled Nursing Facility 4183625361 1 other NPI on this enrollment
Practice locations: Union City, CA

Skilled nursing facility certification: CCN 555843

Legal name
MASONIC HOMES OF CALIFORNIA
Doing business as
MASONIC HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 12, 2007
Last certification
Feb 6, 2025
Beds
125
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Sep 4, 1898 in CA
Enrollment address
34400 Mission Blvd
Union City, CA 94587-3615
Nursing home name
MASONIC HOME

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Masonic HomeCCN 555843
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Oct 12, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12589.4 residents per day on average

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
05D0705553Masonic Home of California34400 Mission Blvd, Union City, CA 94587Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Donald L Parker7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 29

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

NameRoleSinceShare
Patrick I Muldoon Individual Corporate DirectorBoard Member Oct 10, 2020 4.28%
Gary a Peare Individual Corporate DirectorBoard Member Oct 22, 2022 4.29%
Organization, Oakland, CA Consulting firm Adp of the SNF May 9, 2025
Bruce a Rick Individual Corporate DirectorBoard Member Oct 10, 2021 4.28%
Bala Padmanaban Annadurai Individual Operational/Managerial Control Sep 29, 2020
Adp of the SNF Sep 29, 2020
Nepc, LLC Organization, Boston, MA LLC, Consulting firm Adp of the SNF May 9, 2025
Organization, San Francisco, CA Financial institution Adp of the SNF Oct 12, 2007
Sean Mantucca Individual Corporate DirectorBoard Member Oct 28, 2023
Terry Quigley Individual Corporate OfficerPresident and Ceo Jul 1, 2023
Operational/Managerial Control Jul 1, 2023
Adp of the SNF Jul 1, 2023
Jeffery L Bear Individual Corporate DirectorTrustee Oct 21, 2018 4.28%
Carol R Hunter Individual Corporate OfficerChief Financial Officer Jun 6, 2022 5%
Operational/Managerial Control Jun 1, 2022
Adp of the SNF Jun 1, 2022
Masonic Homes of California Organization, Union City, CA Corporation 5% Or Greater Direct Ownership Interest Oct 12, 2007 100%
Operational/Managerial Control Oct 12, 2007
Adp of the SNF Oct 12, 2007
Ronald Hopkins Individual Corporate DirectorBoard Member Oct 27, 2024
Eric D Hatfield Individual Corporate DirectorBoard Member Oct 20, 2019 4.29%
Mario a Balbiani Individual Corporate DirectorBoard Member Oct 10, 2021 4.28%
Interface Rehab, Inc. Organization, Placentia, CA Corporation Operational/Managerial Control Mar 7, 2024
Adp of the SNF Mar 7, 2024
Brian P Bezner Individual Corporate DirectorBoard Member Oct 10, 2021 4.28%
Allan L Casalou Individual Corporate OfficerSecretary Apr 1, 2008 5%
Adp of the SNF Oct 1, 2008
Mark R Parinas Individual Corporate DirectorTrustee Oct 11, 2020 4.28%
Christopher Smith Individual Corporate DirectorBoard Member Oct 27, 2024
Adp of the SNF Jun 1, 2021
Scott Morrison Individual Corporate DirectorBoard Member Oct 27, 2024
Morrison Management Specialists Inc Organization, Charlotte, NC Corporation Operational/Managerial Control Jun 18, 2021
Adp of the SNF Jun 18, 2021
Garrett Chan Individual Corporate DirectorBoard Member Oct 15, 2023
Organization, San Francisco, CA Corporation Adp of the SNF Oct 12, 2007
Ara Maloyan Individual Corporate DirectorBoard Member Oct 10, 2020 4.29%
Maria Talaugon Arnibal Individual Operational/Managerial Control Aug 16, 2019
Adp of the SNF Aug 16, 2019
Roberto Diaz Individual Corporate DirectorBoard Member Oct 10, 2021 4.29%
Cynthia Cruz Individual Operational/Managerial Control Jun 8, 2020
Adp of the SNF Jun 8, 2020
Charles P. Cross Individual Corporate OfficerTreasurer Oct 10, 2021 4.29%
Operational/Managerial Control Oct 15, 2021
Adp of the SNF Oct 15, 2021

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Citrus Heights Care CenterCovina, CA, CCN 555932 Skilled nursing facility 5% Or Greater Direct Ownership Interest Oct 1, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 11

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

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 4

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": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441929600000",
    "number": "1043426588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34400 MISSION BLVD",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945873604",
            "telephone_number": "510-429-6465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34400 MISSION BLVD",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945873604",
            "telephone_number": "510-429-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASONIC HOMES OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2015-09-11",
        "status": "A",
        "authorized_official_last_name": "DIAMOND",
        "authorized_official_first_name": "FRANCO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "510-429-6465",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA, MS"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "CA",
            "license": "020000063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC 55843F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, CA

Sources for this page

Verify at the official NPI Registry.