Active NPI
Asfc,LLC
Doing business as Sierra Vista Healthcare
- Skilled Nursing Facility
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- ASFC,LLC
- Doing business as
- Sierra Vista Healthcare
- Practice address
- 1715 S Cedar Ave
Fresno, CA 93702-4331 - Phone
- (714) 548-8046
- Fax
- (714) 388-3632
- NPI assigned
- Jul 14, 2009
- Last updated
- Jan 29, 2019
- Organization subpart
- Yes
- Parent organization
- ASPEN SKILLED HEALTHCARE, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jeffrey Jared Bradshaw
- Title
- Secretary
- Phone
- (559) 237-8377
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
1715 S Cedar Ave
Fresno, CA 93702-4331
Mailing address
1715 S Cedar Ave
Fresno, CA 93702-4331
Phone (559) 237-8377
Other names 1
- Sierra Vista Healthcare
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090930000171 | CA | Part A Provider - Skilled Nursing Facility | 3173669405 | Practice locations: Fresno, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1437388238. Details of each certification follow.
Skilled nursing facility certification: CCN 555866
- Legal name
- ASFC,LLC
- Doing business as
- SIERRA VISTA HEALTHCARE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- May 18, 2010
- Last certification
- Sep 27, 2024
- Beds
- 99
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Aspen Healthcare
- Organization structure
- LLC
- Enrollment address
- 1715 S Cedar Ave
Fresno, CA 93702-4331 - Nursing home name
- SIERRA VISTA HEALTHCARE
- Affiliated entity
- ASPEN SKILLED HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Sierra Vista Healthcare
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- May 18, 2010
- Medicare certification status
- Active
- Certified beds
- 99
- Chain
- Aspen Skilled Healthcare
- Penalties (3 years)
- 1
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 |
|---|---|---|---|
| 05D2003174 | Asfc, LLC Dba Sierra Vista Healthcare | Certificate of waiver | Feb 2, 2028 |
National Provider Directory
National Provider Directory- Part of
- Aspen Skilled Healthcare Inc
Locations
28202 Cabot Rd
Ste 412
Laguna Niguel, CA 92677
Ownership & related parties
All disclosed owners & managing parties 23
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 |
|---|---|---|---|
| Craig Orgill | Indirect Ownership Interest | Jan 1, 2019 | 1.3% |
| Ana Galan | Operational/Managerial Control | Oct 16, 2023 | |
| Adp of the SNF | Oct 16, 2023 | ||
| Jared Kirkwood | Indirect Ownership Interest | Jan 1, 2019 | 0.3% |
| Adp of the SNF | Oct 1, 2009 | ||
| Colton Rawe | Operational/Managerial Control | Jan 1, 2023 | |
| Managing Control - Governing Body | Jan 1, 2023 | ||
| Adp of the SNF | Jan 1, 2023 | ||
| Eric Elsner | Indirect Ownership Interest | Oct 1, 2009 | 4.08% |
| Jeffrey J Bradshaw | 5% Or Greater Indirect Ownership Interest | Oct 1, 2009 | 22.25% |
| Adp of the SNF | Feb 1, 2019 | ||
| Sequoia Healthcare Group LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 100% |
| Adp of the SNF | Jan 1, 2023 | ||
| Ryan M Case | 5% Or Greater Indirect Ownership Interest | Oct 1, 2009 | 31.77% |
| Adp of the SNF | Feb 1, 2019 | ||
| Asfc,LLC | 5% Or Greater Direct Ownership Interest | Oct 1, 2009 | 100% |
| Operational/Managerial Control | Oct 1, 2009 | ||
| Adp of the SNF | Oct 1, 2009 | ||
| Marcus J Paxman | Adp of the SNF | Jan 1, 2023 | |
| Indirect Ownership Interest | Apr 1, 2022 | 0.01% | |
| Aspen Skilled Healthcare Inc | 5% Or Greater Indirect Ownership Interest | Oct 1, 2009 | 100% |
| 5% Or Greater Mortgage Interest | Jun 2, 2014 | 9.41% | |
| Adp of the SNF | Feb 1, 2019 | ||
| Aspen Healthcare Services LLC | Adp of the SNF | Jan 1, 2023 | |
| Mehdi Hakimipour | Adp of the SNF | Jul 15, 2020 | |
| Salvador Estrada | Operational/Managerial Control | Mar 6, 2023 | |
| Adp of the SNF | Mar 6, 2023 | ||
| Adp of the SNF | Oct 1, 2009 | ||
| East West Bank | Adp of the SNF | Oct 1, 2009 | |
| Frank Jurado | Adp of the SNF | Jan 1, 2023 | |
| Vern J Brady | 5% Or Greater Indirect Ownership Interest | Oct 1, 2009 | 31.95% |
| Adp of the SNF | Feb 1, 2019 | ||
| CSFC, LLC | Adp of the SNF | Feb 1, 2019 | |
| Shruty Parti | Indirect Ownership Interest | Oct 1, 2009 | 4.08% |
| Peter Bradshaw | Indirect Ownership Interest | Jul 7, 2023 | 0.09% |
| Rajesh Parti | Indirect Ownership Interest | Oct 1, 2009 | 4.08% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Facilities with the same owner 22
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Marina Pointe Subacute
- Skilled Nursing Facility
- Culver City, CA
- NPI 1801201843
Aspen Skilled Healthcare Inc
-
dba Kei-Ai Los Angeles Healthcare Center
- Skilled Nursing Facility
- Los Angeles, CA
- NPI 1619347465
Aspen Skilled Healthcare Inc
-
- Skilled Nursing Facility
- Los Gatos, CA
- NPI 1487987772
Aspen Skilled Healthcare Inc, Sequoia Healthcare Group LLC
-
dba Lodi Nursing & Rehabilitation
- Skilled Nursing Facility
- Lodi, CA
- NPI 1861868721
Aspen Skilled Healthcare Inc
-
- Skilled Nursing Facility
- Oakland, CA
- NPI 1023759362
Aspen Skilled Healthcare Inc, Sequoia Healthcare Group LLC
-
dba Country Crest Post-Acute
- Skilled Nursing Facility
- Oroville, CA
- NPI 1477209237
Aspen Skilled Healthcare Inc, Sequoia Healthcare Group LLC
-
- Skilled Nursing Facility
- Oakland, CA
- NPI 1407272487
Aspen Skilled Healthcare Inc, Sequoia Healthcare Group LLC
-
dba Petaluma Post-Acute Rehabilitation
- Skilled Nursing Facility
- Petaluma, CA
- NPI 1205316833
Aspen Skilled Healthcare Inc, Sequoia Healthcare Group LLC
-
dba Berkley West Healthcare Center
- Skilled Nursing Facility
- Santa Monica, CA
- NPI 1245865682
Aspen Skilled Healthcare Inc
-
dba Riverwood Healthcare Center
- Skilled Nursing Facility
- Stockton, CA
- NPI 1639519986
Aspen Skilled Healthcare Inc, Sequoia Healthcare Group LLC
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Skilled Nursing Facility
- Cerritos, CA
- NPI 1790914810
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1194987297
Affiliated clinicians 4
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": "1247529600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1548720000000",
"number": "1437388238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1715 S CEDAR AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937024331",
"telephone_number": "559-237-8377",
"fax_number": "559-485-5768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1715 S CEDAR AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937024331",
"telephone_number": "714-548-8046",
"fax_number": "714-388-3632"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASFC,LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ASPEN SKILLED HEALTHCARE, INC",
"enumeration_date": "2009-07-14",
"last_updated": "2019-01-29",
"status": "A",
"authorized_official_last_name": "BRADSHAW",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "JARED",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "559-237-8377",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sierra Vista Healthcare",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.