NPIMap

Organization Active NPI

Nautilus Healthcare, Inc.

Doing business as The Cove at La Jolla

  • Skilled Nursing Facility
  • La Jolla, CA
National Provider Identifier
1588067482
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
NAUTILUS HEALTHCARE, INC.
Doing business as
The Cove at La Jolla
Practice address
7160 Fay Ave
La Jolla, CA 92037-5511
Phone
(858) 459-4361
Fax
(858) 459-1386
NPI assigned
Oct 6, 2014
Last updated
Feb 17, 2021By the provider in NPPES
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

7160 Fay Ave
La Jolla, CA 92037-5511

Mailing address

7160 Fay Ave
La Jolla, CA 92037-5511
Phone (858) 459-4361

Other names 1

  • The Cove at La Jolla 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
O20141215000451 CA Part A Provider - Skilled Nursing Facility 9234451683 Practice locations: La Jolla, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1588067482. Details of each certification follow.

Skilled nursing facility certification: CCN 555545

Legal name
NAUTILUS HEALTHCARE, INC.
Doing business as
THE COVE AT LA JOLLA
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Mar 12, 1993
Last certification
May 16, 2025
Beds
59
Ownership / control type
Corporation
Multi-facility organization
Ensign Group
Most recent change of ownership
Dec 1, 2014
Organization structure
CorporationProprietary
Incorporated
Sep 10, 2014 in NV
Enrollment address
7160 Fay Ave
La Jolla, CA 92037-5511
Nursing home name
THE COVE AT LA JOLLA
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Cove at la JollaCCN 555545 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare
Ownership
For profit - Corporation
Certified
Mar 12, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5951.0 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
05D0567454Cove at la Jolla, the7160 Fay Ave, La Jolla, CA 92037Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

7160 Fay Ave
Ste 127
La Jolla, CA 92037

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Kamron Mirkarimi Individual Operational/Managerial Control May 10, 2021
Adp of the SNF Jul 17, 2025
Katherine Oh Individual Corporate DirectorPresident Nautilus Healthcare, Inc. Jun 1, 2025
Jennifer Ramesh Individual Operational/Managerial ControlAdministrator Dec 1, 2014
Adp of the SNF Jul 17, 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 Nautilus Healthcare, Inc. Sep 9, 2024
Twomagnets LLC Organization, Pasadena, CA Corporation Operational/Managerial Control Dec 1, 2014
Ami Sato Individual Corporate DirectorTreasurer Nautilus Healthcare, Inc. Sep 9, 2024
Flagstone Healthcare South LLC Organization, San Juan Capistrano, CA LLC 5% Or Greater Direct Ownership Interest Sep 10, 2014 100%
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Mar 1, 2011
Soon Burnam Individual Corporate OfficerSecretary Nautilus Healthcare, Inc. Sep 10, 2014
Adp of the SNF Jul 3, 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 60

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

View all 60

Practitioners & affiliated clinicians

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": "1412553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1588067482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7160 FAY AVE",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920375511",
            "telephone_number": "858-459-4361",
            "fax_number": "858-459-1386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7160 FAY AVE",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920375511",
            "telephone_number": "858-459-4361",
            "fax_number": "858-459-1386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAUTILUS 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": "The Cove at La Jolla",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Cove at La Jolla",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.