North Bay Post Acute, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

NORTH BAY POST ACUTE, LLC

Practice address

300 Douglas St
Petaluma, CA 94952-2503

Phone

(707) 763-6887

NPI assigned

Dec 31, 2020

Organization subpart

No

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

Authorized official

Name

Bryan Tanner

Title

Manager

Phone

(707) 763-6887

Specialties & licenses 1

Addresses

Other names 1

• North Bay Post Acute Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Skilled nursing facility certification: CCN 056120

Legal name

NORTH BAY POST ACUTE LLC

Doing business as

NORTH BAY POST ACUTE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Nov 10, 1969

Last certification

Jan 17, 2025

Beds

98

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

Sep 29, 2020 in CA

Enrollment address

300 Douglas St
Petaluma, CA 94952-2503

Nursing home name

NORTH BAY POST ACUTE

Listed as

North Bay Post AcuteCCN 056120

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

3 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Nov 10, 1969

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9895.0 residents per day on average

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

3Fines totaling $179,613

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 4

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

Facilities with the same owner 2

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

• Santa Maria Post Acute LLC

  • Skilled Nursing Facility
  • Santa Maria, CA
  • NPI 1326670910

  Zermatt U.S. Health Services, LLC

  CMS ownership
• Valley Oaks Post Acute LLC

  • Skilled Nursing Facility
  • Santa Maria, CA
  • NPI 1801563077

  Zermatt U.S. Health Services, LLC

  CMS ownership

Affiliated clinicians 1

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

• Evelyn Junko Nakagawa, M.D.

  • Internal Medicine Physician
  • San Leandro, CA
  • NPI 1023077294

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1609372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1104413517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5404 WHITSETT AVE STE 182",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916071615",
            "telephone_number": "818-960-0295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 DOUGLAS ST",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949522503",
            "telephone_number": "707-763-6887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BAY POST ACUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-31",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "TANNER",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "707-763-6887"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Bay Post Acute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Bay Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Petaluma, CA
• Providers in Petaluma, 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 Mar 2, 2021; 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.