Organization Active NPI

City Heights Health Associates LLC

Doing business as Arroyo Vista Nursing Center

  • Skilled Nursing Facility
  • San Diego, CA
National Provider Identifier
1487640066
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
090000016 Issued in CA
Legal business name
CITY HEIGHTS HEALTH ASSOCIATES LLC
Doing business as
Arroyo Vista Nursing Center
Practice address
3022 45TH St
San Diego, CA 92105-4302
Phone
(619) 283-5855
Fax
(619) 284-6327
NPI assigned
Sep 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 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 090000016 CA Primary

Addresses

Primary practice location

3022 45TH St
San Diego, CA 92105-4302

Mailing address

3022 45TH St
San Diego, CA 92105-4302
Phone (619) 283-5855

Other identifiers 1

IdentifierTypeStateIssuer
1487640066MedicaidCA

Other names 1

  • Arroyo Vista Nursing 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
O20030903000026 CA Part A Provider - Skilled Nursing Facility 9133030471 Practice locations: San Diego, CA

Skilled nursing facility certification: CCN 055505

Legal name
CITY HEIGHTS HEALTH ASSOCIATES LLC
Doing business as
ARROYO VISTA NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Oct 10, 2024
Beds
53
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Jul 28, 2003 in NV
Enrollment address
3022 45TH St
San Diego, CA 92105-4302
Nursing home name
ARROYO VISTA NURSING CENTER
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Arroyo Vista Nursing CenterCCN 055505 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5347.0 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
05D0882064Arroyo Vista Nursing Center3022 45TH Street, San Diego, CA 92105Certificate of waiverDec 27, 2026

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
Pouya Afshar Individual Operational/Managerial Control Mar 9, 2016
Managing Control - Governing BodyMedical Director Mar 9, 2016
Adp of the SNF Mar 9, 2016
Ohi Asset (Ca), LLC Organization, Hunt Valley, MD LLC Adp of the SNF Oct 1, 2003
Vitawerks Inc Organization, Foster City, CA LLC Operational/Managerial Control Oct 1, 2003
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation Indirect Ownership Interest Jan 30, 2006 100%
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Oct 1, 2003
Adam Willits Individual Corporate DirectorSole Manager Jan 1, 2019
Flagstone Healthcare South LLC Organization, San Juan Capistrano, CA LLC, For-profit Direct Ownership Interest Jan 30, 2006 100%
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Mar 1, 2011
Ome Moore Individual Operational/Managerial ControlAdministrator Feb 1, 2017
Managing Control - Governing BodyAdministrator Feb 1, 2017
Adp of the SNF Feb 1, 2017
Soon Burnam Individual Corporate OfficerSecretary City Heights Health Assoc Jan 30, 2006

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 1

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

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": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1487640066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3022 45TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921054302",
            "telephone_number": "619-283-5855",
            "fax_number": "619-284-6327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3022 45TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921054302",
            "telephone_number": "619-283-5855",
            "fax_number": "619-284-6327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY HEIGHTS HEALTH ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-20",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "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": "090000016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487640066",
            "state": "CA"
        }
    ],
    "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": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "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": "Arroyo Vista Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Arroyo Vista Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.