Citrus Nursing Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

240000127

Legal business name

CITRUS NURSING CENTER

Practice address

9440 Citrus Ave
Fontana, CA 92335

Phone

(909) 823-3481

Fax

(909) 823-3829

NPI assigned

Sep 16, 2006

Organization subpart

No

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

Authorized official

Name

William C Presnell

Title

Cfo

Phone

(714) 577-3880

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Citrus Nursing Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Skilled nursing facility certification: CCN 055872

Legal name

CITRUS NURSING CENTER

Doing business as

PRIVATE BANK

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 29, 1968

Last certification

Jun 10, 2022

Beds

99

Ownership / control type

Corporation

Organization structure

CorporationProprietary

Enrollment address

9440 Citrus Ave
Fontana, CA 92335-5512

Nursing home name

CITRUS NURSING CENTER

Affiliated entity

DAVID JOHNSON

Listed as

Citrus Nursing CenterCCN 055872

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

2 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jan 29, 1968

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9990.5 residents per day on average

Chain

David Johnson48 facilities in the chain

Penalties (3 years)

1Fines totaling $7,446

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 13

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

Owners & managing parties with NPI records 2

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

• Sepehr Golboo, M.D.

  • Family Medicine Physician
  • Laguna Hills, CA
  • NPI 1164836896

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Eli E Marmur, M.A., R.P.T.

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1720199664

  5% Or Greater Direct Ownership Interest

  CMS ownership

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Harikrishna Ambati, MD

  • Family Medicine Physician
  • Chino, CA
  • NPI 1154998730

  Nursing home

  Care Compare affiliation
• Sepehr Golboo, M.D.

  • Family Medicine Physician
  • Laguna Hills, CA
  • NPI 1164836896

  Nursing home

  Care Compare affiliation
• Andres Gonzalez, M.D.

  • Family Medicine Physician
  • Montclair, CA
  • NPI 1669892147

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380153600000",
    "number": "1346346285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 SATURN ST",
            "address_2": "STE 201",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216278",
            "telephone_number": "714-577-3880",
            "fax_number": "714-577-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9440 CITRUS AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "92335",
            "telephone_number": "909-823-3481",
            "fax_number": "909-823-3829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITRUS NURSING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2013-09-26",
        "status": "A",
        "authorized_official_last_name": "PRESNELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "714-577-3880"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": "240000127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05872",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Citrus Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yu-CHI Ricky Chung, D.D.S.
• Andy Chuu, MD
• Giuliana Cilliani, PA-C
• Ha Sarreong Cillpame, DPT
• Iresha Linda Cioco, PMHNP
• Citrus Villa Retirement Center
• Civillani D. Layos
• Stephanie Clark-Poveda, PA
• Loris E Clark
• Claudia Cortes DDS Inc

• Skilled Nursing Facility in Fontana, CA
• Providers in Fontana, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.

Verify at the official NPI Registry.