Organization Active NPI

Baywood Court

  • Skilled Nursing Facility
  • Castro Valley, CA
National Provider Identifier
1043489016
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
550000793 Issued in CA
Legal business name
BAYWOOD COURT
Practice address
21966 Dolores St
Castro Valley, CA 94546-6959
Phone
(510) 733-2102
Fax
(510) 733-2480
NPI assigned
Feb 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Authorized official

Name
Matt Neal
Title
President & Ceo
Phone
(510) 733-2401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 550000793 CA Primary

Addresses

Primary practice location

21966 Dolores St
Castro Valley, CA 94546-6959

Mailing address

21966 Dolores St
Castro Valley, CA 94546-6959
Phone (510) 733-2102

Other identifiers 1

IdentifierTypeStateIssuer
550000793MedicaidCA

Other names 1

  • Baywood Court Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080516000255 CA Part A Provider - Skilled Nursing Facility 8426127416 Practice locations: Castro Valley, CA

Skilled nursing facility certification: CCN 555855

Legal name
BAYWOOD COURT
Doing business as
BAYWOOD COURT HEALTH CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 5, 2008
Last certification
Oct 11, 2024
Beds
56
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Jun 7, 1984 in CA
Enrollment address
21966 Dolores St
Castro Valley, CA 94546-6959
Nursing home name
BAYWOOD COURT HEALTH CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Baywood Court Health CenterCCN 555855
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Dec 5, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5650.4 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
05D1083246Baywood Court Health Center21966 Dolores Street, Castro Valley, CA 94546Certificate of waiverApr 29, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 40

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

NameRoleSinceShare
Dipa Gupta Individual Operational/Managerial Control May 1, 2019
Adp of the SNF May 1, 2019
Ken Papierniak Individual Corporate DirectorBoard Member Mar 28, 2025
Operational/Managerial Control Mar 28, 2025
Managing Control - Governing Body Mar 28, 2025
Adp of the SNF Mar 28, 2025
Organization, San Francisco, CA LLC Adp of the SNF Apr 11, 2025
Organization, Chicago, IL Corporation, Financial institution Adp of the SNF Nov 23, 2016
Nancy a Dyar Individual Corporate Director Jul 1, 2023
Operational/Managerial Control Jul 1, 2023
Managing Control - Governing Body Jul 1, 2023
Adp of the SNF Jul 1, 2023
Organization, Salt Lake City, UT LLC Adp of the SNF Apr 11, 2025
Organization, Rancho Mirage, CA Corporation, Consulting firm Adp of the SNF Apr 11, 2025
Roland Williams Individual Corporate DirectorBoard Dec 16, 2020
Operational/Managerial Control Dec 16, 2020
Managing Control - Governing Body Dec 16, 2020
Adp of the SNF Dec 16, 2020
Organization, Hayward, CA Corporation, Medical staffing company Adp of the SNF Apr 11, 2025
Elke Sommer Individual Corporate DirectorBoard Member May 26, 2017
Operational/Managerial Control May 26, 2017
Managing Control - Governing Body May 26, 2017
Adp of the SNF May 26, 2017
Jennifer Reed Individual Corporate OfficerSecretary Sep 27, 2024
Corporate DirectorBoard Member Feb 28, 2024
Operational/Managerial Control Feb 28, 2024
Managing Control - Governing Body Feb 28, 2024
Adp of the SNF Feb 28, 2024
Organization, Elk Grove, CA Corporation Adp of the SNF Apr 11, 2025
Organization, Glendale, CA LLC Adp of the SNF Apr 11, 2025
Individual Adp of the SNF Aug 1, 2017
Organization, Chicago, IL Corporation, Medical provider/supplier Adp of the SNF Apr 11, 2025
Organization, Los Angeles, CA Corporation, Consulting firm Adp of the SNF Apr 11, 2025
Bruce Johnson Individual Corporate OfficerVice Chair Sep 27, 2024
Corporate DirectorBoard Member May 26, 2017
Operational/Managerial Control May 26, 2017
Managing Control - Governing Body May 26, 2017
Adp of the SNF May 26, 2017
Wipfli LLP Organization, Milwaukee, WI LLC, Consulting firm, For-profit Operational/Managerial Control Jul 1, 2020
Adp of the SNF Apr 23, 2025
Organization, Encino, CA Corporation Adp of the SNF Apr 11, 2025
Organization, New York, NY Corporation, Investment firm Adp of the SNF Apr 11, 2025
Organization, Milpitas, CA Corporation, Medical staffing company Adp of the SNF Apr 11, 2025
Organization, Glendale, CA Corporation Adp of the SNF Apr 11, 2025
Dev Mahadevan Individual Corporate OfficerTreasurer Oct 7, 2016
Corporate Director Dec 2, 2009
Operational/Managerial Control Dec 2, 2009
Managing Control - Governing Body Dec 2, 2009
Adp of the SNF Dec 2, 2009
Organization, Irvine, CA Corporation, Consulting firm Adp of the SNF Apr 11, 2025
Organization, Hercules, CA Corporation, Medical provider/supplier Adp of the SNF Apr 11, 2025
Organization, Alameda, CA LLC, Medical staffing company Adp of the SNF Apr 11, 2025
Organization, Madison, WI LLC Adp of the SNF Apr 11, 2025
Organization, Chico, CA Corporation, Financial institution Adp of the SNF May 19, 2021
Organization, Phoenix, AZ LLC Adp of the SNF Apr 11, 2025
Organization, Madison, WI LLC Adp of the SNF Apr 11, 2025
Lisa Annette Ray Individual Operational/Managerial Control Feb 4, 1990
Adp of the SNF Feb 4, 1990
Organization, Newport Beach, CA LLC, Consulting firm Adp of the SNF Apr 11, 2025
Baywood Court Organization, Castro Valley, CA Non-profit 5% Or Greater Direct Ownership Interest Mar 7, 2011 100%
Organization, Los Angeles, CA Corporation Adp of the SNF Apr 11, 2025
Matthew C Neal Individual Corporate OfficerCeo Jan 6, 2020
Corporate DirectorCeo Jan 6, 2020
Operational/Managerial ControlCeo Jan 6, 2020
Managing Control - Governing BodyChief Executive Officer Jan 6, 2020
Adp of the SNF Jan 6, 2020
Nathaniel Runas Individual Operational/Managerial Control Jun 6, 2016
Adp of the SNF Jun 6, 2016
Organization, Fresno, CA Corporation Adp of the SNF Apr 11, 2025
Organization, Hayward, CA LLC Adp of the SNF Apr 11, 2025
George Bischalaney Individual Corporate OfficerChair Sep 24, 2022
Corporate Director Feb 17, 2021
Operational/Managerial Control Feb 25, 2021
Managing Control - Governing Body Feb 17, 2021
Adp of the SNF Feb 17, 2021
Kulwinder Bhatia Individual Operational/Managerial Control Nov 20, 2020
Adp of the SNF Nov 20, 2020

Facilities with the same owner 65

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

View all 65

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1043489016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21966 DOLORES ST",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945466959",
            "telephone_number": "510-733-2102",
            "fax_number": "510-733-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21966 DOLORES ST",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945466959",
            "telephone_number": "510-733-2102",
            "fax_number": "510-733-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYWOOD COURT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "510-733-2401"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "550000793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "550000793",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baywood Court Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Baywood Court Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Castro Valley, CA

Sources for this page

Verify at the official NPI Registry.