Organization Active NPI

Trestles LLC

  • Skilled Nursing Facility
  • Sacramento, CA
National Provider Identifier
1508401423
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
TRESTLES LLC
Practice address
6248 66TH Ave
Sacramento, CA 95823-2733
Phone
(916) 392-4440
NPI assigned
Nov 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Authorized official

Name
Ryan Williams
Title
Managing Member
Phone
(916) 945-1248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

6248 66TH Ave
Sacramento, CA 95823-2733

Mailing address

20400 Saratoga Los Gatos Rd
Saratoga, CA 95070-5927

Other names 1

  • City Creek Post Acute Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200405000355 CA Part A Provider - Skilled Nursing Facility 5294164711 Practice locations: Sacramento, CA

Skilled nursing facility certification: CCN 555160

Legal name
TRESTLES LLC
Doing business as
CITY CREEK POST ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 6, 1983
Last certification
Oct 17, 2024
Beds
99
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Sep 3, 2019 in CA
Enrollment address
6248 66TH Ave
Sacramento, CA 95823-2733
Nursing home name
CITY CREEK POST ACUTE
Affiliated entity
KALESTA HEALTHCARE GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
City Creek Post AcuteCCN 555160
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Dec 6, 1983
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9994.0 residents per day on average
Chain
Kalesta Healthcare Group19 facilities in the chain
Penalties (3 years)
2Fines totaling $21,952

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
05D0726354City Creek Post Acute6248 66TH Avenue, Sacramento, CA 95823Certificate of waiverNov 11, 2027

National Provider Directory

National Provider Directory

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.

NameRoleSinceShare
Ethan D Flake Individual Corporate DirectorRegional Director of Operations Oct 7, 2024
Operational/Managerial Control Oct 7, 2024
Scott Clawson Individual 5% Or Greater Indirect Ownership InterestManager Oct 1, 2019 44.05%
Corporate OfficerManager Oct 1, 2019
Ishankumar R Modi Individual Corporate DirectorDirector of Therapy Services Nov 4, 2019
Operational/Managerial Control Nov 4, 2019
Micah Porter Individual 5% Or Greater Indirect Ownership Interest Oct 1, 2019
Individual Direct Ownership Interest Oct 1, 2019 4.9%
Domonique Fields Individual Corporate DirectorDirector of Revenue Management Oct 1, 2019
Operational/Managerial Control Oct 1, 2019
Sunindar Mann Individual Operational/Managerial Control Jan 17, 2023
Natalie Salsedo Individual Operational/Managerial Control Jun 12, 2023
Organization, San Clemente, CA Adp of the SNF Oct 1, 2019
Cortney Hinkle Individual Corporate DirectorHR/Ap/Payroll Director Jan 9, 2024
Operational/Managerial Control Jan 9, 2024
Joseph Simon Individual Operational/Managerial Control Jan 3, 2021
Ryan Williams Individual 5% Or Greater Indirect Ownership InterestManager Oct 1, 2019 44.05%
Corporate OfficerManager Oct 1, 2019
Steven Mosher Individual Corporate DirectorDirector of It Services Jul 8, 2024
Operational/Managerial Control Jul 8, 2024
Cynthia Rodis Individual Operational/Managerial Control Feb 21, 2025
Michael Soares Individual Corporate DirectorDirector of Plant Operations Mar 1, 2021
Operational/Managerial Control Mar 1, 2021
Shyanna Singh Individual Operational/Managerial Control Dec 5, 2023
Steven Jones Individual Corporate OfficerChief Operating Officer Jul 1, 2024
Operational/Managerial Control Jul 1, 2024
Texas Capital Bank NA Organization, Dallas, TX Financial institution 5% Or Greater Security Interest Apr 17, 2025 100%
Kalesta Healthcare Group, LLC Organization, Rocklin, CA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Oct 1, 2019 100%
Kai Shin Chen Individual Corporate OfficerController Jan 4, 2021
Operational/Managerial Control Jan 4, 2021
Nicholas Oehler Individual Operational/Managerial Control Jun 3, 2024
Adp of the SNF Jun 3, 2024
Sunil Dhir Individual Operational/Managerial Control Jan 1, 2020
Adp of the SNF Jan 1, 2020
Jeffrey Murray Individual Corporate DirectorClinical Services Director Jan 8, 2024
Operational/Managerial Control Jan 8, 2024

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 17

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

View all 17

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": "1573689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1508401423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20400 SARATOGA LOS GATOS RD",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950705927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6248 66TH AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232733",
            "telephone_number": "916-392-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRESTLES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-14",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "916-945-1248"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City Creek Post Acute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "City Creek Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.