Organization Active NPI

Bay View Rehabilitation Hospital LLC

  • Skilled Nursing Facility
  • Alameda, CA
National Provider Identifier
1386998664
Registry record updated Nov 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BAY VIEW REHABILITATION HOSPITAL LLC
Practice address
516 Willow St
Alameda, CA 94501-6132
Phone
(310) 266-1080
Fax
(714) 256-2003
NPI assigned
Nov 7, 2012
Last updated
Nov 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2012

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

Authorized official

Name
David Johnson
Title
Ceo
Phone
(310) 266-1080

Specialties & licenses 1

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

Addresses

Primary practice location

516 Willow St
Alameda, CA 94501-6132

Mailing address

530 N Puente St
Brea, CA 92821-2804
Phone (310) 266-1080

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130304000413 CA Part A Provider - Skilled Nursing Facility 5890940514 Practice locations: Alameda, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386998664. Details of each certification follow.

Skilled nursing facility certification: CCN 056348

Legal name
BAY VIEW REHABILITATION HOSPITAL LLC
Doing business as
BAY VIEW REHABILITATION HOSPITAL LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 31, 1972
Last certification
Oct 31, 2024
Beds
180
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Meridian Management
Most recent change of ownership
Mar 1, 2013
Organization structure
LLCProprietary
Enrollment address
516 Willow St
Alameda, CA 94501-6132
Nursing home name
BAY VIEW REHABILITATION HOSPITAL, LLC
Affiliated entity
DAVID JOHNSON

Care Compare: Nursing home

Medicare Care Compare
Listed as
Bay View Rehabilitation Hospital, LLCCCN 056348 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Aug 31, 1972
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
180166.2 residents per day on average
Chain
David Johnson48 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
2Fines totaling $201,994

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
05D0597332Bay View Rehabilitation Hospital516 Willow St, Alameda, CA 94501Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
David a Johnson Individual Operational/Managerial Control Nov 1, 2012
Direct Ownership Interest Nov 1, 2012 50%
Anthony Edward Allen Individual Operational/Managerial Control Jan 1, 2024
Adp of the SNF Jan 1, 2024
Thomas M Chambers Individual Operational/Managerial Control Nov 1, 2012
Adp of the SNF Nov 1, 2012
Direct Ownership Interest Nov 1, 2012 50%
Rustico Rayta Punzalan Individual Corporate OfficerFinance Officer May 1, 2024
Operational/Managerial Control May 1, 2024
Adp of the SNF May 1, 2024
Roland Santos Rabago Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025

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

Affiliated clinicians 2

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": "1352246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1386998664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 N PUENTE ST",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928212804",
            "telephone_number": "310-266-1080",
            "fax_number": "714-256-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 WILLOW ST",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945016132",
            "telephone_number": "310-266-1080",
            "fax_number": "714-256-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY VIEW REHABILITATION HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-07",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-266-1080"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

Verify at the official NPI Registry.