NPIMap

Organization Active NPI

Parkside Healthcare, Inc.

  • Skilled Nursing Facility
  • El Cajon, CA
National Provider Identifier
1447653340
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PARKSIDE HEALTHCARE, INC.
Doing business as
Parkside Health and Wellness Center
Practice address
444 W Lexington Ave
El Cajon, CA 92020-4416
Phone
(619) 442-7744
Fax
(619) 447-0641
NPI assigned
Oct 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Authorized official

Name
Soon Burnam
Title
Treasurer
Phone
(949) 540-1249

Specialties & licenses 1

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

Addresses

Primary practice location

444 W Lexington Ave
El Cajon, CA 92020-4416

Mailing address

444 W Lexington Ave
El Cajon, CA 92020-4416
Phone (619) 442-7744

Other names 1

  • Parkside Health and Wellness Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141215001528 CA Part A Provider - Skilled Nursing Facility 4284956665 Practice locations: El Cajon, CA

Skilled nursing facility certification: CCN 555596

Legal name
PARKSIDE HEALTHCARE INC
Doing business as
PARKSIDE HEALTH AND WELLNESS CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 11, 1994
Last certification
May 30, 2025
Beds
52
Ownership / control type
Corporation
Multi-facility organization
Ensign Services
Most recent change of ownership
Dec 1, 2014
Organization structure
CorporationProprietary
Incorporated
Sep 10, 2014 in NV
Enrollment address
444 W Lexington Ave
El Cajon, CA 92020-4416
Nursing home name
PARKSIDE HEALTH AND WELLNESS CENTER
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Parkside Health and Wellness CenterCCN 555596 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
May 11, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5250.3 residents per day on average
Chain
The Ensign Group342 facilities in the chain

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
05D0931026Parkside Health and Wellness Center444 W Lexington Ave, El Cajon, CA 92020Certificate of waiverJul 20, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Katherine Oh Individual Corporate OfficerPresident Parkside Healthcare, Inc. Jun 1, 2025
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation 5% Or Greater Indirect Ownership Interest Jan 30, 2006 100%
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Dec 1, 2014
Adam Willits Individual Corporate DirectorDirector Parkside Healthcare, Inc. Jan 1, 2023
Ami Sato Individual Corporate OfficerTreasurer Parkside Healthcare, Inc. Sep 9, 2024
Flagstone Healthcare South LLC Organization, San Juan Capistrano, CA LLC 5% Or Greater Direct Ownership Interest Dec 1, 2014 100%
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Mar 1, 2011
Bernard Aron Michlin Individual Operational/Managerial Control Dec 3, 2020
Managing Control - Governing BodyMedical Director Dec 3, 2020
Adp of the SNF Jul 10, 2025
Matthew Oldroyd Individual Operational/Managerial ControlAdministrator Apr 1, 2015
Managing Control - Governing BodyAdministrator Apr 1, 2015
Adp of the SNF Jul 10, 2025
Soon Burnam Individual Corporate OfficerSecretary Parkside Healthcare, Inc. Sep 10, 2014
Adp of the SNF Jul 10, 2025

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 37

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 37

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1412553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1447653340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 W LEXINGTON AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920204416",
            "telephone_number": "619-442-7744",
            "fax_number": "619-447-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 W LEXINGTON AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920204416",
            "telephone_number": "619-442-7744",
            "fax_number": "619-447-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKSIDE HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-06",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113833.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Parkside Health and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Parkside Health and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Cajon, CA

Sources for this page

Verify at the official NPI Registry.