Organization Active NPI

Atba, LLC

Doing business as North Park Post-Acute

  • Skilled Nursing Facility
  • Tracy, CA
National Provider Identifier
1649876541
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ATBA, LLC
Doing business as
North Park Post-Acute
Practice address
2586 Buthmann Ave
Tracy, CA 95376-2165
Phone
(209) 832-2273
NPI assigned
Dec 7, 2020
Last updated
Dec 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Authorized official

Name
Mr. Jeffrey Bradshaw
Title
Manager
Phone
(949) 347-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2586 Buthmann Ave
Tracy, CA 95376-2165

Mailing address

28202 Cabot Rd Ste 412
Laguna Niguel, CA 92677-1271
Phone (949) 370-7130

Other names 1

  • North Park 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
O20210204002546 CA Part A Provider - Skilled Nursing Facility 7911311808 Practice locations: Tracy, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649876541. Details of each certification follow.

Skilled nursing facility certification: CCN 555245

Legal name
ATBA, LLC
Doing business as
NORTH PARK POST-ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 25, 1987
Last certification
Oct 4, 2024
Beds
99
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
2586 Buthmann Ave
Tracy, CA 95376-2165
Nursing home name
NORTH PARK POST-ACUTE
Affiliated entity
ASPEN SKILLED HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
North Park Post-AcuteCCN 555245 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Feb 25, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9993.1 residents per day on average
Chain
Aspen Skilled Healthcare35 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
05D0644045North Park Post-Acute2586 Buthmann Ave, Tracy, CA 95376Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 22

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

NameRoleSinceShare
Craig Orgill Individual Indirect Ownership Interest Nov 3, 2021 1.3%
Jared Kirkwood Individual Indirect Ownership Interest Nov 3, 2021 0.3%
Colton Rawe Individual Operational/Managerial Control Jan 1, 2023
Managing Control - Governing BodyLLC Manager Jan 1, 2023
Adp of the SNF Jan 1, 2023
Eric Elsner Individual Indirect Ownership Interest Nov 3, 2021 4.08%
Jeffrey J Bradshaw Individual Adp of the SNF Jan 1, 2023
Indirect Ownership Interest Nov 3, 2021 22.25%
Tanner Howard Individual Operational/Managerial Control Oct 3, 2022
Adp of the SNF Oct 3, 2022
Sequoia Healthcare Group LLC Organization, Laguna Niguel, CA LLC, Consulting firm Adp of the SNF Jan 1, 2023
Indirect Ownership Interest Jan 1, 2023 100%
Ryan M Case Individual Adp of the SNF Jan 1, 2023
Indirect Ownership Interest Nov 3, 2021 31.77%
Marcus J Paxman Individual Adp of the SNF Jan 1, 2023
Indirect Ownership Interest Apr 1, 2022 0.01%
Pranjalkumar H Patel Individual Operational/Managerial Control Jan 1, 2021
Adp of the SNF Jan 1, 2021
Aspen Healthcare Services LLC Organization, Laguna Niguel, CA LLC, Consulting firm, Chain home office Adp of the SNF Jan 1, 2023
Wells Fargo Bank, National Association Organization, San Francisco, CA Corporation, Financial institution Adp of the SNF Nov 3, 2021
Organization, Long Beach, CA LLC Adp of the SNF Sep 22, 2025
East West Bank Organization, Pasadena, CA Corporation, Financial institution Adp of the SNF Nov 3, 2021
Frank Jurado Individual Adp of the SNF Jan 1, 2023
Vern J Brady Individual Adp of the SNF Jan 1, 2023
Indirect Ownership Interest Nov 3, 2021 31.95%
Atba, LLC Organization, Laguna Niguel, CA LLC Operational/Managerial Control Nov 3, 2021
Adp of the SNF Nov 3, 2021
Direct Ownership Interest Nov 3, 2021 100%
Desiree Concha Individual Operational/Managerial Control Aug 23, 2021
Adp of the SNF Aug 23, 2021
Shruty Parti Individual Indirect Ownership Interest Nov 3, 2021 4.08%
Moss Adams LLP Organization, Irvine, CA Adp of the SNF Nov 3, 2021
Peter Bradshaw Individual Indirect Ownership Interest Jul 7, 2023 0.09%
Rajesh Parti Individual Indirect Ownership Interest Nov 3, 2021 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.

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": "1607299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607299200000",
    "number": "1649876541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28202 CABOT RD STE 412",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771271",
            "telephone_number": "949-370-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2586 BUTHMANN AVE",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953762165",
            "telephone_number": "209-832-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATBA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A",
        "authorized_official_last_name": "BRADSHAW",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "949-347-7100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Park Post-Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tracy, CA

Sources for this page

Verify at the official NPI Registry.