Active NPI
Avalon Medical Development Corporation
Doing business as Catalina Island Health
- Critical Access Hospital
- Avalon, CA
National Provider Identifier
1346250347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Access Hospital
- License
- 930000010
- Legal business name
- AVALON MEDICAL DEVELOPMENT CORPORATION
- Doing business as
- Catalina Island Health
- Practice address
- 100 Falls Canyon Road
Avalon, CA 90704-2990 - Phone
- (310) 510-0700
- Fax
- (310) 510-2938
- NPI assigned
- Aug 9, 2006
- Last updated
- Feb 12, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Timothy Kielpinski
- Title
- Ceo
- Phone
- (310) 510-0700
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital Clinic/Center | 261QC0050X | 930000010 | CA | |
| Rural Health Clinic/Center | 261QR1300X | NU | ||
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | 930000010 | CA | |
| Critical Access Hospital | 282NC0060X | 930000010 | CA | Primary |
| Long Term Care Hospital | 282E00000X | 930000010 | CA |
Addresses
Primary practice location
100 Falls Canyon Road
Avalon, CA 90704-2990
Mailing address
P.O. Box 1563
Avalon, CA 90704-1563
Phone (310) 510-0700
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZT30427G | Medicaid | CA | |
| 126988 | Medicaid | AZ | |
| HAP03918F | Medicaid | CA | |
| ZZT40427G | Medicaid | CA | |
| 11732369 | Medicaid | CO | |
| LTC55187G | Medicaid | CA | |
| RHM03918F | Medicaid | CA | |
| CGP169282 | Medicaid | CA |
Other names 1
- Catalina Island Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 5
NPI to CCN mapping 5
The Medicare certification numbers (CCNs) connected to NPI 1346250347. Details of each certification follow.
Skilled nursing facility certification: CCN 555187
- Legal name
- AVALON MEDICAL DEVELOPMENT CORPORATION
- Doing business as
- CATALINA ISLAND HEALTH
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 6, 1985
- Last certification
- May 8, 2025
- Beds
- 8
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Enrollment address
- 100 Falls Canyon Rd
Avalon, CA 90704-1563 - Nursing home name
- CATALINA ISLAND HEALTH
Rural health clinic certification: CCN 053996
- Legal name
- AVALON MEDICAL DEVELOPMENT CORPORATION
- Doing business as
- CATALINA ISLAND HEALTH
- Certification status
- Terminated Voluntary: merger or closure, Jan 1, 1994
- Provider type (POS)
- Rural health clinic
- Participating since
- Jan 1, 1993
- Last certification
- Mar 28, 1991
- Ownership / control type
- 2B
- Organization structure
- Corporation
- Incorporated
- Jan 14, 1987 in CA
- Enrollment address
- 100 Falls Canyon Rd
Avalon, CA 90704-2990 - Related CCNs
- 555187
Hospital certification: CCN 051307
- Legal name
- AVALON MEDICAL DEVELOPMENT CORPORATION
- Doing business as
- CATALINA ISLAND HEALTH
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- Nov 30, 2001
- Last certification
- Apr 6, 2017
- Beds
- 12
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation
- Incorporated
- Jan 14, 1987 in CA
- Enrollment address
- 100 Falls Canyon Rd
Avalon, CA 90704-2990
Hospital certification: CCN 05Z307
- Legal name
- AVALON MEDICAL DEVELOPMENT CORPORATION
- Doing business as
- CATALINA ISLAND HEALTH
- Organization structure
- Corporation
- Incorporated
- Jan 14, 1987 in CA
- Enrollment address
- 100 Falls Canyon Rd
Avalon, CA 90704-2990
Hospital certification: CCN 050427
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- AVALON MUNICIPAL HOSPITAL
- Certification status
- Terminated Voluntary: merger or closure, Nov 29, 2001
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Jun 18, 1993
- Beds
- 12
- Ownership / control type
- Local
- Facility address
- 100 Falls Canyon Rd Box 1563
Avalon, CA 90704
Care Compare: Hospital
Medicare Care Compare- Listed as
- Catalina Island Medical Center
- Type
- Critical Access Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Catalina Island Health
- Overall star rating
- Health inspections
- Staffing
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Mar 6, 1985
- Medicare certification status
- Active
- Certified beds
- 8
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0710102 | Catalina Island Health | Compliance | Jul 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Avalon Medical Develop Corp
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Member organizations 1
Organizations listed as members of this organization in the 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Avalon Medical Development Corporation | 5% Or Greater Direct Ownership Interest | Feb 1, 1988 | 100% |
| Other | Feb 1, 1988 | 100% | |
| Operational/Managerial Control | Jan 16, 2025 | ||
| Adp of the SNF | Jan 7, 2025 | ||
| Judy K Grear | Corporate Director | Jun 30, 2016 | |
| Corporate Director | Jul 1, 2015 | 100% | |
| Corporate Director | Jun 30, 2016 | 100% | |
| Corporate Director | Jul 1, 2015 | ||
| Timothy Kielpinski | Corporate Officer | Oct 1, 2025 | 100% |
| W-2 Managing Employee | Oct 1, 2025 | ||
| W-2 Managing Employee | Oct 1, 2025 | 100% | |
| Operational/Managerial Control | Oct 1, 2025 | ||
| Adp of the SNF | Mar 19, 2026 | ||
| Jason Dean Paret | Corporate Officer | Jan 4, 2016 | 100% |
| Catrina Awalt | Corporate Director | Jul 1, 2015 | |
| Corporate Director | Jul 1, 2015 | 100% | |
| Corporate Director | Jun 30, 2015 | 100% | |
| Gertrude Saldana | Corporate Director | Jun 30, 2016 | 100% |
| Corporate Director | Jul 1, 2015 | 100% | |
| Nicole Hohenstein | Corporate Director | Jun 30, 2022 | 100% |
| Corporate Director | May 1, 2022 | 100% | |
| John Christian Fox | Corporate Director | Jun 30, 2018 | |
| Corporate Director | Jan 29, 2018 | 100% | |
| Denise Motter | Corporate Director | Jun 30, 2022 | 100% |
| Corporate Director | May 1, 2022 | 100% | |
| Renee C Macleod | Corporate Director | Jun 30, 2022 | 100% |
| Corporate Director | May 1, 2022 | 100% | |
| Leah Keeline | W-2 Managing Employee | Sep 1, 2011 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Practitioners & affiliated clinicians
Practitioners 64
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.
-
- Family Medicine Physician
- Stockton, CA
- NPI 1790770022
-
- Family Nurse Practitioner
- Avalon, CA
- NPI 1396391397
-
- Psychiatry Physician
- Harbor City, CA
- NPI 1174671069
-
- Clinical Social Worker
- Los Angeles, CA
- NPI 1902316755
-
- Vascular & Interventional Radiology Physician
- West Covina, CA
- NPI 1255423489
-
- Family Medicine Physician
- Avalon, CA
- NPI 1891767299
-
- Family Nurse Practitioner
- Avalon, CA
- NPI 1790975969
-
- Marriage & Family Therapist
- Solana Beach, CA
- NPI 1487852711
-
- Family Medicine Physician
- Avalon, CA
- NPI 1093974222
-
- Family Medicine Physician
- Avalon, CA
- NPI 1629501937
-
- Emergency Medicine Physician
- Orange, CA
- NPI 1215424502
Affiliated clinicians 32
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Emergency Medicine Physician
- Orange, CA
- NPI 1588290589
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770854400000",
"number": "1346250347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 1563",
"city": "AVALON",
"state": "CA",
"postal_code": "907041563",
"telephone_number": "310-510-0700",
"fax_number": "310-510-2938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 FALLS CANYON ROAD",
"city": "AVALON",
"state": "CA",
"postal_code": "907042990",
"telephone_number": "310-510-0700",
"fax_number": "310-510-2938"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVALON MEDICAL DEVELOPMENT CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-09",
"last_updated": "2026-02-12",
"certification_date": "2026-02-12",
"status": "A",
"authorized_official_last_name": "KIELPINSKI",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "310-510-0700",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QC0050X",
"taxonomy_group": "",
"desc": "Clinic/Center, Critical Access Hospital",
"state": "CA",
"license": "930000010",
"primary": false
},
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "275N00000X",
"taxonomy_group": "",
"desc": "Medicare Defined Swing Bed Unit",
"state": "CA",
"license": "930000010",
"primary": false
},
{
"code": "282NC0060X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Critical Access",
"state": "CA",
"license": "930000010",
"primary": true
},
{
"code": "282E00000X",
"taxonomy_group": "",
"desc": "Long Term Care Hospital",
"state": "CA",
"license": "930000010",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZT30427G",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "126988",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HAP03918F",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZT40427G",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "11732369",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LTC55187G",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RHM03918F",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CGP169282",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Catalina Island Health",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Avalon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.