Organization Active NPI

Sequoia Living Inc

Doing business as The Sequoias San Francisco

  • Skilled Nursing Facility
  • San Francisco, CA
National Provider Identifier
1053341396
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
220000066 Issued in CA
Legal business name
SEQUOIA LIVING INC
Doing business as
The Sequoias San Francisco
Practice address
1400 Geary Boulevard
San Francisco, CA 94109-6569
Phone
(415) 922-9700
Fax
(415) 567-2576
NPI assigned
Jul 3, 2006
Last updated
Feb 7, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
SEQUOIA LIVING INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 7, 2019

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

Authorized official

Name
Ms. Mi Nan Boyd
Title
Cfo
Phone
(415) 202-7814

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 220000066 CA Primary

Addresses

Primary practice location

1400 Geary Boulevard
San Francisco, CA 94109-6569

Mailing address

1525 Post Street
San Francisco, CA 94109-6567
Phone (415) 202-7800

Other names 1

  • The Sequoias San Francisco Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120329000673 CA Part A Provider - Skilled Nursing Facility 4486814324 Practice locations: San Francisco, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053341396. Details of each certification follow.

Skilled nursing facility certification: CCN 056071

Legal name
SEQUOIA LIVING INC
Doing business as
SEQUOIAS SAN FRANCISCO CONVALESCENT HOSPITAL
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Jun 18, 1969
Last certification
Nov 22, 2024
Beds
50
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Sequoia Living Inc.
Organization structure
CorporationNon-profit
Incorporated
Jan 27, 1958 in CA
Enrollment address
1400 Geary Blvd
San Francisco, CA 94109-6561
Nursing home name
SEQUOIAS SAN FRANCISCO CONVALESCENT HOSPITAL

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Sequoias San Francisco Convalescent HospitalCCN 056071 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
2 of 5
Type
Medicare
Ownership
Non profit - Corporation
Certified
Jun 18, 1969
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5038.5 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Sequoia Living Inc4 organizations share this tax ID, including this one
Part of
Sequoia Living Inc

Other organizations with this tax ID 3

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

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Charles Shoemake Individual Corporate OfficerChief Financial Officer Aug 14, 2020 100%
Adp of the SNF Dec 12, 2024
Carl Gordon Howie Individual Corporate DirectorBoard Member May 1, 2011
David M Jamison Individual Corporate DirectorBoard Member May 1, 2014
Patricia Lynn Individual Corporate DirectorBoard Member Apr 29, 2020
Terence F Tumbale Individual Operational/Managerial Control Nov 27, 2024
Adp of the SNF Dec 12, 2024
Dianne Jo Spaulding Individual Corporate DirectorBoard Member (Chair) May 1, 2014
Sequoia Living Inc Organization, San Francisco, CA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jun 18, 1969 100%
Adp of the SNF Dec 12, 2024
Holly Ito Individual Corporate DirectorBoard Member Oct 25, 2022
Steven H Herman Individual Corporate DirectorBoard Member (Vice Chair) Jan 1, 2017 100%
Marilyn Suey Individual Corporate DirectorBoard Member May 22, 2023
Richard Corriea Individual Corporate DirectorBoard Member May 19, 2021
Sarah McVey Individual Corporate OfficerCeo Sep 24, 2019
Adp of the SNF Dec 12, 2024
Marianne Lim Individual Corporate DirectorBoard Member Jul 21, 2020
Glen Goddard Individual W-2 Managing EmployeeExecutive Director Sep 1, 2016
Operational/Managerial Control Nov 22, 2024
Adp of the SNF Dec 12, 2024
Cory Allan Sanderson Individual Corporate DirectorBoard Member May 29, 2024
Valerie Agostino Individual Corporate DirectorBoard Member Dec 7, 2020
Nancy Mayeda Individual Corporate DirectorBoard Member Jan 1, 2016 100%
Martha a Atwood Individual Corporate OfficerChief People Officer Jan 3, 1994
Adp of the SNF Dec 12, 2024

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
The TamalpaisGreenbrae, CA, CCN 056077 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 25, 1984
Sequoias Portola ValleyPortola Valley, CA, CCN 055466 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Jan 18, 1967
Jan 14, 2025

Owned or controlled facilities with NPI records 2

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

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549497600000",
    "number": "1053341396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 POST STREET",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941096567",
            "telephone_number": "415-202-7800",
            "fax_number": "415-922-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 GEARY BOULEVARD",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941096569",
            "telephone_number": "415-922-9700",
            "fax_number": "415-567-2576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUOIA LIVING INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SEQUOIA LIVING INC.",
        "enumeration_date": "2006-07-03",
        "last_updated": "2019-02-07",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "MI NAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "415-202-7814",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "220000066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Sequoias San Francisco",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Sequoias San Francisco",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.