Costa Mesa Healthcare Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

COSTA MESA HEALTHCARE INC.

Doing business as

Newport Subacute Healthcare Center

Practice address

2570 Newport Blvd
Costa Mesa, CA 92627-1331

Phone

(949) 631-4282

Fax

(949) 631-8681

NPI assigned

Nov 2, 2006

Last updated

Oct 21, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth P Austria

Title

Chief Operating Officer

Phone

(323) 333-0509

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• NEWPORT SUBACUTE HEALTHCARE CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396824215. Details of each certification follow.

• CCN 555751 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 555751

Legal name

COSTA MESA HEALTHCARE INC.

Doing business as

NEWPORT SUBACUTE HEALTHCARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Dec 2, 1999

Last certification

May 3, 2024

Beds

139

Ownership / control type

Corporation

Organization structure

CorporationProprietary

Incorporated

Dec 12, 2005 in CA

Enrollment address

2570 Newport Blvd
Costa Mesa, CA 92627-1331

Nursing home name

NEWPORT SUBACUTE HEALTHCARE CENTER

Listed as

Newport Subacute Healthcare CenterCCN 555751 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

1 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Dec 2, 1999

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

13992.9 residents per day on average

Penalties (3 years)

2Fines totaling $14,380

Processed by Care Compare on Aug 1, 2026.

Locations

All disclosed owners & managing parties 9

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.

• Rushabh Modi

  • Gastroenterology Physician
  • Los Angeles, CA
  • NPI 1649421850

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Alexander Jacob Sweidan, MD

  • Pulmonary Disease Physician
  • Costa Mesa, CA
  • NPI 1689070161

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 2

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

• Jose J Guerra, D.O.

  • Family Medicine Physician
  • Anaheim, CA
  • NPI 1346396645

  Nursing home

  Care Compare affiliation
• Kaveh N Rezvan, D.O.

  • Pulmonary Disease Physician
  • San Juan Capistrano, CA
  • NPI 1003140922

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445385600000",
    "number": "1396824215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2570 NEWPORT BLVD",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926271331",
            "telephone_number": "949-631-4282",
            "fax_number": "949-631-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 NEWPORT BLVD",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926271331",
            "telephone_number": "949-631-4282",
            "fax_number": "949-631-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSTA MESA HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2015-10-21",
        "status": "A",
        "authorized_official_last_name": "AUSTRIA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "323-333-0509"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "LTC55751G",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "LTC70146G",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "555751",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC70146G",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55751G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEWPORT SUBACUTE HEALTHCARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Manuel Cortez
• Chris Cosand, LVN
• Evagelos Coskinas, M.D.
• Emily Elisabeth Cospin
• Costa Mesa Corp. (SoCal Smiles Dentistry)
• Costa Mesa Medical Clinic
• Costa Mesa Operations LLC (Savant of Costa Mesa)
• Costa Mesa Oral Surgery
• Costa Mesa Surgery Center Inc
• Costa Victoria Healthcare LLC (Victoria HealthCare Center)

• Skilled Nursing Facility in Costa Mesa, CA
• Providers in Costa Mesa, 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 Oct 21, 2015; 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.