Chaparral Foundation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

020000156 Issued in CA

Legal business name

CHAPARRAL FOUNDATION

Doing business as

Chaparral House

Practice address

1309 Allston Way
Berkeley, CA 94702-1920

Phone

(510) 848-8774

Fax

(510) 848-2438

NPI assigned

Sep 14, 2005

Last updated

Aug 11, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. KJ Page, RN, NHA, ND

Title

Administrator

Phone

(510) 848-8774

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Chaparral House Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659366771. Details of each certification follow.

• CCN 555872 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 555872

Legal name

CHAPARRAL FOUNDATION

Doing business as

CHAPARRAL HOUSE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 14, 2011

Last certification

Sep 27, 2024

Beds

49

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Dec 13, 1971 in CA

Enrollment address

1309 Allston Way
Berkeley, CA 94702-1920

Nursing home name

CHAPARRAL HOUSE

Listed as

Chaparral HouseCCN 555872 · 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 and Medicaid

Ownership

Non profit - Corporation

Certified

Jul 14, 2011

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

4947.1 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 12

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

Owners & managing parties with NPI records 1

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

• Mehran Jamali, M.D

  • Internal Medicine Physician
  • Sunnyvale, CA
  • NPI 1356874143

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Son T Ly, D.C

  • Chiropractor
  • Fremont, CA
  • NPI 1356363626
  NPD
• Nicola B Hanchock, M.D.

  • Internal Medicine Physician
  • Berkeley, CA
  • NPI 1518074830
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Michael Lee Goldrich, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Berkeley, CA
  • NPI 1851786792

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407715200000",
    "number": "1659366771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 ALLSTON WAY",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947021920",
            "telephone_number": "510-848-8774",
            "fax_number": "510-848-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 ALLSTON WAY",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947021920",
            "telephone_number": "510-848-8774",
            "fax_number": "510-848-2438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAPARRAL FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-14",
        "last_updated": "2014-08-11",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "KJ",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "510-848-8774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RN, NHA, ND"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "020000156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR18525F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chaparral House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Christopher Changaris, PSY.D. LIC#:PSY24712
• David Donald Channer, LCSW
• Veena Kumari Channon
• Judy Chao
• Leslie Nai Chao
• Jordyn Janai Chapman
• Raemona Darrell Chappell, PHARMACY TECHNICIAN
• Marcia E. Charles-Mo, M.D.
• Arianna Charles
• Ava H. Charney-Danysh, MFT

• Skilled Nursing Facility in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.