Coronado Bay, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CORONADO BAY, LLC

Doing business as

Harvest Crossing Post-Acute

Practice address

469 E North St
Manteca, CA 95336-4710

Phone

(209) 823-1788

NPI assigned

Jan 25, 2022

Last updated

Jan 25, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ryan Williams

Title

Manager

Phone

(916) 945-1248

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Harvest Crossing Post-Acute Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053063685. Details of each certification follow.

• CCN 055917 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 055917

Legal name

CORONADO BAY, LLC

Doing business as

HARVEST CROSSING POST ACUTE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 10, 1968

Last certification

Nov 21, 2024

Beds

99

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Kalesta Healthcare Group, LLC

Organization structure

LLCProprietary

Incorporated

Aug 5, 2021 in CA

Enrollment address

469 E North St
Manteca, CA 95336-4710

Nursing home name

HARVEST CROSSING POST ACUTE

Affiliated entity

KALESTA HEALTHCARE GROUP

Listed as

Harvest Crossing Post AcuteCCN 055917 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Apr 10, 1968

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9991.2 residents per day on average

Chain

Kalesta Healthcare Group19 facilities in the chain

Abuse citation

Cited for abuse (Care Compare abuse icon)

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 21

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

Owners & managing parties with NPI records 2

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

• Ishankumar Modi

  • Physical Therapist
  • Rocklin, CA
  • NPI 1710299342

  Corporate Director, Operational/Managerial Control

  CMS ownership
• Rachandeep Singh, MD

  • Nephrology Physician
  • Osage Beach, MO
  • NPI 1386755056

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 17

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

• Balboa Island, LLC

  dba California Park Post Acute

  • Skilled Nursing Facility
  • Chico, CA
  • NPI 1982439568

  Kalesta Healthcare Group, LLC

  CMS ownership
• Carpinteria LLC

  dba Atherton Park Post Acute

  • Skilled Nursing Facility
  • Menlo Park, CA
  • NPI 1003451915

  Kalesta Healthcare Group, LLC

  CMS ownership
• Hamoa LLC

  dba Valley Skilled Nursing Center

  • Skilled Nursing Facility
  • Modesto, CA
  • NPI 1124663034

  Kalesta Healthcare Group, LLC

  CMS ownership
• Napili Bay, LLC

  dba Los Banos Post-Acute

  • Skilled Nursing Facility
  • Los Banos, CA
  • NPI 1770235319

  Kalesta Healthcare Group, LLC

  CMS ownership
• Newport LLC.

  • Skilled Nursing Facility
  • Modesto, CA
  • NPI 1255938015

  Kalesta Healthcare Group, LLC

  CMS ownership
• Peahi Bay, LLC

  dba River View Post Acute

  • Skilled Nursing Facility
  • Modesto, CA
  • NPI 1811646987

  Kalesta Healthcare Group, LLC

  CMS ownership
• Three Arch, LLC

  dba The Villas At Saratoga Skilled Nursing

  • Skilled Nursing Facility
  • Saratoga, CA
  • NPI 1235604646

  Kalesta Healthcare Group, LLC

  CMS ownership
• Trestles LLC

  dba City Creek Post Acute

  • Skilled Nursing Facility
  • Sacramento, CA
  • NPI 1508401423

  Kalesta Healthcare Group, LLC

  CMS ownership
• Cardiff Beach, LLC

  dba Olympic View Post Acute

  • Skilled Nursing Facility
  • Port Angeles, WA
  • NPI 1013718170

  Kalesta Healthcare Group, LLC

  CMS ownership
• Doheny Beach, LLC

  dba Othello Post Acute

  • Skilled Nursing Facility
  • Othello, WA
  • NPI 1801697966

  Kalesta Healthcare Group, LLC

  CMS ownership
• Malibu Beach, LLC

  dba Port Washington Post Acute

  • Skilled Nursing Facility
  • Bremerton, WA
  • NPI 1295536357

  Kalesta Healthcare Group, LLC

  CMS ownership
• Mavericks Beach, LLC

  dba Saint Helens Post Acute

  • Skilled Nursing Facility
  • Saint Helens, OR
  • NPI 1649077405

  Kalesta Healthcare Group, LLC

  CMS ownership

Affiliated clinicians 1

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

• Rachandeep Singh, MD

  • Nephrology Physician
  • Osage Beach, MO
  • NPI 1386755056

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1053063685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 MENLO DR STE 200",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957653725",
            "telephone_number": "916-879-6560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 E NORTH ST",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953364710",
            "telephone_number": "209-823-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORONADO BAY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "916-945-1248"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100000071",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PointClickCare",
            "affiliation": "N",
            "endpointDescription": "EMR system",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "469 E North St",
            "city": "Manteca",
            "state": "CA",
            "country_code": "US",
            "postal_code": "953364710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Harvest Crossing Post-Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Community Medical Centers, Inc
• Community Medical Centers, Inc. (Community Medical Center)
• Community Medical Centers, Inc.
• Halsey Corbett, P.T.
• Teresa Tjeda Corbett, DPT
• Bryan Cabconce Coronel, NP
• Myrna Leah Coronel, PHARM.D.
• Melissa Cortez de la Cruz
• Daniel Cortez
• Monica Marie Cortez

• Skilled Nursing Facility in Manteca, CA
• Providers in Manteca, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.

Verify at the official NPI Registry.