NPIMap

Organization Active NPI

Desert Mallow Healthcare, Inc.

Doing business as Beachside Nursing Center

  • Skilled Nursing Facility
  • Huntington Beach, CA
National Provider Identifier
1275246704
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
DESERT MALLOW HEALTHCARE, INC.
Doing business as
Beachside Nursing Center
Practice address
7781 Garfield Ave
Huntington Beach, CA 92648-2026
Phone
(714) 847-9671
NPI assigned
Dec 29, 2022
Last updated
Dec 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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 NU Primary

Addresses

Primary practice location

7781 Garfield Ave
Huntington Beach, CA 92648-2026

Mailing address

7781 Garfield Ave
Huntington Beach, CA 92648-2026
Phone (714) 847-9671

Other names 1

  • Beachside Nursing Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0NhinService/XDRReesponse_Service Other eSolutions Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230331002535 CA Part A Provider - Skilled Nursing Facility 2961877139 Practice locations: Huntington Beach, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275246704. Details of each certification follow.

Skilled nursing facility certification: CCN 555027

Legal name
DESERT MALLOW HEALTHCARE INC
Doing business as
BEACHSIDE NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1981
Last certification
Mar 28, 2025
Beds
59
Ownership / control type
Limited Liability Corporation
Multi-facility organization
ENSIGN
Organization structure
CorporationProprietary
Incorporated
Nov 8, 2022 in NV
Enrollment address
7781 Garfield Ave
Huntington Beach, CA 92648-2026
Nursing home name
BEACHSIDE NURSING CENTER
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Beachside Nursing CenterCCN 555027 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1981
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5955.8 residents per day on average
Chain
The Ensign Group342 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

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
Hany Bashandy Individual Operational/Managerial Control Sep 27, 2023
Managing Control - Governing BodyMedical Director Sep 27, 2023
Adp of the SNF Jun 27, 2025
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation 5% Or Greater Indirect Ownership Interest Feb 1, 2023 100%
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Oct 31, 2022
Adam Willits Individual Corporate DirectorDirector Desert Mallow Healthcare Feb 1, 2023
Ami Sato Individual Corporate OfficerTreasurer Desert Mallow Healthcare Sep 9, 2024
Flagstone Healthcare South LLC Organization, San Juan Capistrano, CA LLC 5% Or Greater Direct Ownership Interest Nov 8, 2022 100%
Medely Inc Organization, Dallas, TX Corporation Operational/Managerial Control Feb 1, 2023
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Mar 1, 2011
William Rand Looper Individual Corporate OfficerPresident Desert Mallow Healthcare, Feb 1, 2023
Seth Braithwaite Individual Operational/Managerial ControlAdministrator Feb 1, 2023
Managing Control - Governing BodyAdministrator Feb 1, 2023
Adp of the SNF Jun 27, 2025
Soon Burnam Individual Corporate OfficerSecretary Desert Mallow Healthcare Nov 8, 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 37

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

View all 37

Practitioners & affiliated clinicians

Affiliated clinicians 6

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": "1672272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672272000000",
    "number": "1275246704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7781 GARFIELD AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926482026",
            "telephone_number": "714-847-9671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7781 GARFIELD AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926482026",
            "telephone_number": "714-847-9671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT MALLOW HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-29",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-27",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0NhinService/XDRReesponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Beachside Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.