Organization Active NPI

Mission Park Health Center LLC

  • Skilled Nursing Facility
  • Santa Barbara, CA
National Provider Identifier
1144982281
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MISSION PARK HEALTH CENTER LLC
Practice address
623 W Junipero St
Santa Barbara, CA 93105-4213
Phone
(805) 682-7443
NPI assigned
Oct 6, 2021
Last updated
Oct 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Authorized official

Name
Aaron Mayer
Title
Authorized Representative
Phone
(925) 228-6003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

623 W Junipero St
Santa Barbara, CA 93105-4213

Mailing address

623 W Junipero St
Santa Barbara, CA 93105-4213

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220907002800 CA Part A Provider - Skilled Nursing Facility 2264816438 Practice locations: Santa Barbara, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144982281. Details of each certification follow.

Skilled nursing facility certification: CCN 055991

Legal name
MISSION PARK HEALTH CENTER, LLC
Doing business as
MISSION PARK HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Jul 1, 1969
Last certification
Dec 11, 2024
Beds
138
Ownership / control type
Limited Liability Corporation
Multi-facility organization
PACIFICARE HEALTH MANAGEMENT
Organization structure
LLCProprietary
Enrollment address
623 W Junipero St
Santa Barbara, CA 93105-4213
Nursing home name
MISSION PARK HEALTHCARE CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Mission Park Healthcare CenterCCN 055991 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare
Ownership
For profit - Limited Liability company
Certified
Jul 1, 1969
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
138127.1 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
05D0709361Mission Park Healthcare Center623 W Junipero St, Santa Barbara, CA 93105Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

4550 Wilshire Blvd
Ste 206
Los Angeles, CA 90010

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Mayer PP Associates, LLC Organization, Los Angeles, CA LLC, For-profit Adp of the SNF Aug 9, 2021
Ronald J Mayer Individual Adp of the SNF Aug 9, 2021
James Alexander Murdoch Individual Operational/Managerial Control Mar 2, 2023
Adp of the SNF Mar 2, 2023
Scott Keawekane Individual Operational/Managerial ControlAdministrator Jul 11, 2022 100%
Quinn Larson Individual Operational/Managerial Control Nov 11, 2024
Adp of the SNF Nov 11, 2024
Ahm Trust Organization, Los Angeles, CA 5% Or Greater Direct Ownership Interest Aug 9, 2021 99.9%
Operational/Managerial Control Aug 9, 2021
623 W. Junipero, LLC Organization, Los Angeles, CA LLC Adp of the SNF Aug 9, 2021
The Compliance Institute LLC Organization, Long Beach, CA LLC, Management services company, For-profit Operational/Managerial Control Jul 3, 2023
Adp of the SNF Jul 3, 2023
Aaron Mayer Individual 5% Or Greater Indirect Ownership Interest Aug 9, 2021 99.9%
Operational/Managerial Control Aug 9, 2021
Adp of the SNF Aug 9, 2021
Direct Ownership Interest Aug 9, 2021 0.1%
Pacificare Health Management LLC Organization, Los Angeles, CA LLC, Management services company, For-profit Adp of the SNF Aug 9, 2021
Helene G Mayer Individual Adp of the SNF Aug 9, 2021

Owners & managing parties with NPI records 1

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

Facilities with the same owner 6

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 7

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": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1144982281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 W JUNIPERO ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 W JUNIPERO ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054213",
            "telephone_number": "805-682-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION PARK HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "925-228-6003"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.