NPIMap

Organization Active NPI

Newport Beach Holdings LLC

Doing business as Creekside Post-Acute

  • Skilled Nursing Facility
  • San Jose, CA
National Provider Identifier
1174252928
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
NEWPORT BEACH HOLDINGS LLC
Doing business as
Creekside Post-Acute
Practice address
3580 Payne Ave
San Jose, CA 95117-2925
Phone
(858) 798-5700
NPI assigned
Jun 7, 2022
Last updated
Jun 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Authorized official

Name
Toby Tilford
Title
Co-Ceo
Phone
(858) 798-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3580 Payne Ave
San Jose, CA 95117-2925

Mailing address

16885 W Bernardo Dr Ste 216
San Diego, CA 92127-1620
Phone (858) 798-5700

Other names 1

  • CREEKSIDE POST-ACUTE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220929001790 CA Part A Provider - Skilled Nursing Facility 6002292976 Practice locations: San Jose, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174252928. Details of each certification follow.

Skilled nursing facility certification: CCN 055884

Legal name
NEWPORT BEACH HOLDINGS LLC
Doing business as
CREEKSIDE POST-ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 12, 1968
Last certification
Dec 5, 2024
Beds
130
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Links Healthcare LLC
Most recent change of ownership
Jun 1, 2022
Organization structure
LLCProprietary
Incorporated
Jan 31, 2022 in CA
Enrollment address
3580 Payne Ave
San Jose, CA 95117-2925
Nursing home name
CREEKSIDE POST-ACUTE
Affiliated entity
LINKS HEALTHCARE GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Creekside Post-AcuteCCN 055884 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 12, 1968
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
130122.9 residents per day on average
Chain
Links Healthcare Group32 facilities in the chain
Penalties (3 years)
1Fines totaling $20,248

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

16885 W Bernardo Dr
Ste 216
San Diego, CA 92127

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Josie Reichert Individual Operational/Managerial Control Jun 1, 2022
Adp of the SNF Jun 1, 2022
Mary Beardsley Individual Operational/Managerial Control Jun 1, 2022
Adp of the SNF Jun 1, 2022
Toby Tilford Individual 5% Or Greater Indirect Ownership Interest Jun 1, 2022 46.6%
Corporate OfficerManager Jun 1, 2022
Operational/Managerial Control Jun 1, 2022
Adp of the SNF Jun 1, 2022
Individual Indirect Ownership Interest Jun 1, 2022 2%
Individual Indirect Ownership Interest Jun 1, 2022 4%
Organization, Long Beach, CA Adp of the SNF Jun 1, 2022
Antonette D Frojelin Individual Operational/Managerial Control Jun 1, 2022
Adp of the SNF Jun 1, 2022
Links Support Services, LLC Organization, San Diego, CA LLC Operational/Managerial Control Jun 1, 2022
Adp of the SNF Jun 27, 2025
Individual Indirect Ownership Interest Jun 1, 2022 0.8%
Victoria Bernholz Individual Operational/Managerial Control Jun 1, 2022
Adp of the SNF Jun 1, 2022
Melissa Carter Individual Operational/Managerial Control Jun 1, 2022
Adp of the SNF Jun 1, 2022
Forbright Bank Organization, Chevy Chase, MD Financial institution 5% Or Greater Security Interest Jun 1, 2022 100%
Links Healthcare Group LLC Organization, San Diego, CA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 1, 2022 100%
Operational/Managerial Control Jun 1, 2022
Adp of the SNF Jun 27, 2025
Eide Bailly LLP Organization, Salt Lake City, UT Adp of the SNF Jun 1, 2022
Gunner Romney Individual Operational/Managerial Control Jul 3, 2024
Adp of the SNF Jul 3, 2024
Saman Sabounchi Individual Operational/Managerial Control Jun 1, 2022
Adp of the SNF Jun 1, 2022
Curtis Rodriguez Individual 5% Or Greater Indirect Ownership Interest Jun 1, 2022 46.6%
Corporate OfficerManager Jun 1, 2022
Operational/Managerial Control Jun 1, 2022
Adp of the SNF Jun 1, 2022

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 30

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

View all 30

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1654560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1174252928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16885 W BERNARDO DR STE 216",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271620",
            "telephone_number": "858-798-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 PAYNE AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951172925",
            "telephone_number": "858-798-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT BEACH HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "TILFORD",
        "authorized_official_first_name": "TOBY",
        "authorized_official_title_or_position": "CO-CEO",
        "authorized_official_telephone_number": "858-798-5700"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CREEKSIDE POST-ACUTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.