NPIMap

Organization Active NPI

Vista Woods Health Associates LLC

  • Skilled Nursing Facility
  • Vista, CA
National Provider Identifier
1275533929
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
080000353 Issued in CA
Legal business name
VISTA WOODS HEALTH ASSOCIATES LLC
Practice address
2000 Westwood Rd
Vista, CA 92083-5123
Phone
(760) 630-2273
Fax
(760) 630-0913
NPI assigned
Jul 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Authorized official

Name
Ms. Soon Burnam
Title
Authorized Agent
Phone
(949) 540-1249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 080000353 CA Primary

Addresses

Primary practice location

2000 Westwood Rd
Vista, CA 92083-5123

Mailing address

2000 Westwood Rd
Vista, CA 92083-5123
Phone (760) 630-2273

Other identifiers 1

IdentifierTypeStateIssuer
LTC555425HMedicaidCA

Other names 1

  • Vista Knoll Specialized Care Facility Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030903000023 CA Part A Provider - Skilled Nursing Facility 3779494018 Practice locations: Vista, CA

Skilled nursing facility certification: CCN 555425

Legal name
VISTA WOODS HEALTH ASSOCIATES, LLC
Doing business as
VISTA KNOLL SPECIALIZED CARE FACILITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
May 30, 1990
Last certification
Aug 26, 2022
Beds
119
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Jul 28, 2003 in NV
Enrollment address
2000 Westwood Rd
Vista, CA 92083-5123
Nursing home name
VISTA KNOLL SPECIALIZED CARE FACILITY
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Vista Knoll Specialized Care FacilityCCN 555425
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
May 30, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
119153.2 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
05D0886147Vista Knoll Specialized Care Facility2000 Westwood Road, Vista, CA 92083Certificate of waiverMay 13, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Ohi Asset (Ca), LLC Organization, Hunt Valley, MD LLC Adp of the SNF Oct 1, 2003
Clayton Gardner Individual Operational/Managerial ControlAdministrator Oct 1, 2009
Managing Control - Governing BodyAdministrator Oct 1, 2009
Adp of the SNF Jun 22, 2025
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation, For-profit Indirect Ownership Interest Oct 1, 2003 100%
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Oct 1, 2003
Adam Willits Individual Corporate DirectorSole Member Vista Woods Health Asso Jan 30, 2019
Sam Baroudi Individual Operational/Managerial Control Apr 12, 2016
Managing Control - Governing BodyMedical Director Apr 12, 2016
Adp of the SNF Jun 22, 2025
Flagstone Healthcare South LLC Organization, San Juan Capistrano, CA LLC, For-profit Direct Ownership Interest Jan 30, 2006 100%
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Mar 1, 2011
Elite Work Finders Inc Organization, Escondido, CA Corporation Operational/Managerial Control Oct 1, 2003
Soon Burnam Individual Corporate OfficerSecretary Vista Woods Health Associ Jan 30, 2006
Managing Control - Governing BodyAuthorized Official Jan 2, 2014

Owners & managing parties with NPI records 1

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

  • Sam Baroudi, MD
    • Internal Medicine Physician
    • Vista, CA
    • NPI 1316936933

    Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control

    CMS ownership

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 8

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": "1121990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1275533929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 WESTWOOD RD",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920835123",
            "telephone_number": "760-630-2273",
            "fax_number": "760-630-0913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 WESTWOOD RD",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920835123",
            "telephone_number": "760-630-2273",
            "fax_number": "760-630-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA WOODS HEALTH ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-22",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "949-540-1249",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "080000353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC555425H",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113833.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "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": "Vista Knoll Specialized Care Facility",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vista Knoll Specialized Care Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vista, CA

Sources for this page

Verify at the official NPI Registry.