NPIMap

Organization Active NPI

Santa Catalina Healthcare, Inc.

Doing business as St. Catherine Healthcare

  • Skilled Nursing Facility
  • Fullerton, CA
National Provider Identifier
1205445848
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SANTA CATALINA HEALTHCARE, INC.
Doing business as
St. Catherine Healthcare
Practice address
245 E Wilshire Ave
Fullerton, CA 92832-1935
Phone
(714) 871-6020
Fax
(714) 870-6046
NPI assigned
Jul 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Authorized official

Name
Soon Burnam
Title
Treasurer
Phone
(949) 540-1249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

245 E Wilshire Ave
Fullerton, CA 92832-1935

Mailing address

245 E Wilshire Ave
Fullerton, CA 92832-1935
Phone (714) 871-6020

Other names 1

  • St. Catherine Healthcare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201202002559 CA Part A Provider - Skilled Nursing Facility 5597176123 Practice locations: Fullerton, CA

Skilled nursing facility certification: CCN 055689

Legal name
SANTA CATALINA HEALTHCARE, INC.
Doing business as
ST. CATHERINE HEALTHCARE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 3, 1969
Last certification
Sep 26, 2024
Beds
99
Ownership / control type
Corporation
Multi-facility organization
Flagstone South
Organization structure
CorporationProprietary
Incorporated
Jan 15, 2019 in NV
Enrollment address
245 E Wilshire Ave
Fullerton, CA 92832-1935
Nursing home name
ST. CATHERINE HEALTHCARE
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
St. Catherine HealthcareCCN 055689 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Sep 3, 1969
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9988.6 residents per day on average
Chain
The Ensign Group342 facilities in the chain

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
05D0878306St Catherine Healthcare245 E Wilshire Ave, Fullerton, CA 92832Certificate of waiverOct 20, 2027

National Provider Directory

National Provider Directory

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
Barry Port Individual Corporate OfficerSole MGR Flagstone Healthcare South Sep 9, 2024
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation 5% Or Greater Indirect Ownership Interest Jan 15, 2019 100%
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Oct 31, 2018
Adam Willits Individual Corporate DirectorDirector Santa Catalina Healthcare Jan 15, 2019
Ami Sato Individual Corporate OfficerTreasurer Santa Catalina Healthcare Sep 9, 2024
Flagstone Healthcare South LLC Organization, San Juan Capistrano, CA LLC 5% Or Greater Direct Ownership Interest Jan 15, 2019 100%
245 East Wilshire Avenue, LLC Organization, Hunt Valley, MD LLC Adp of the SNF Jan 1, 2021
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Mar 1, 2011
Mohammad Umar Farukhi Individual Operational/Managerial Control Jan 1, 2021
Managing Control - Governing BodyMedical Director Jan 1, 2021
Adp of the SNF Jun 21, 2025
William Rand Looper Individual Corporate OfficerPresidnet Santa Catalina Healthcare Feb 1, 2023
Operational/Managerial ControlAdministrator Jan 1, 2021
Managing Control - Governing BodyAdministrator Jan 1, 2021
Adp of the SNF Jun 21, 2025
Soon Burnam Individual Corporate OfficerSecretary Santa Catalina Healthcare Jan 15, 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 37

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

View all 37

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1595980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1205445848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 E WILSHIRE AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321935",
            "telephone_number": "714-871-6020",
            "fax_number": "714-870-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 E WILSHIRE AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321935",
            "telephone_number": "714-871-6020",
            "fax_number": "714-870-6046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA CATALINA HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Catherine Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fullerton, CA

Sources for this page

Verify at the official NPI Registry.