NPIMap

Organization Active NPI

South Bay Healthcare, Inc.

Doing business as Sequoia Home Health

  • Home Health Agency
  • Milpitas, CA
National Provider Identifier
1679951859
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SOUTH BAY HEALTHCARE, INC.
Doing business as
Sequoia Home Health
Practice address
830 Hillview CT
Suite 225
Milpitas, CA 95035-4550
Phone
(510) 739-1992
Fax
(510) 952-4264
NPI assigned
May 8, 2015
Last updated
Jun 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Authorized official

Name
Amber L Tueller
Title
Secretary
Phone
(208) 207-2726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

830 Hillview CT
Suite 225
Milpitas, CA 95035-4550

Mailing address

830 Hillview CT
Suite 225
Milpitas, CA 95035-4550
Phone (510) 739-1992

Other names 1

  • Sequoia Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150609000853 CA Part A Provider - Home Health Agency 9739400268 Practice locations: Milpitas, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679951859. Details of each certification follow.

Home health agency certification: CCN 058496

Legal name
SOUTH BAY HEALTHCARE INC
Doing business as
SEQUOIA HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 20, 2008
Last certification
Apr 16, 2021
Ownership / control type
Proprietary
Most recent change of ownership
Nov 25, 2025
Organization structure
CorporationProprietary
Incorporated
May 5, 2015 in NV
Enrollment address
830 Hillview CT
Ste 225
Milpitas, CA 95035-4563

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Sequoia Home HealthCCN 058496 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Oct 20, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

830 Hillview Ct
Ste 225
Milpitas, CA 95035
Phone (510) 739-1992

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Jordan Baker Individual W-2 Managing EmployeeAdministrator Jul 1, 2020
Cornerstone Healthcare Inc Organization, Eagle, ID Corporation, For-profit 5% Or Greater Direct Ownership Interest Jun 1, 2015 100%
Brian W. Wayment Individual Corporate OfficerPresident May 5, 2021
Lee Johnson Individual Corporate OfficerTreasurer May 22, 2018
The Pennant Group Inc Organization, Eagle, ID Corporation, For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2019 100%
Daniel Walker Individual Corporate DirectorDirector and Sole Board Member May 22, 2018 100%
Elliot McMillan Individual Corporate OfficerSecretary May 22, 2018

Facilities with the same owner 141

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

View all 141

Practitioners & affiliated clinicians

Affiliated clinicians 92

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

View all 92

NPI Registry JSON

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1679951859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 HILLVIEW CT",
            "address_2": "SUITE 225",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950354550",
            "telephone_number": "510-739-1992",
            "fax_number": "510-952-4264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 HILLVIEW CT",
            "address_2": "SUITE 225",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950354550",
            "telephone_number": "510-739-1992",
            "fax_number": "510-952-4264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-08",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "TUELLER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "208-207-2726"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sequoia Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sequoia Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milpitas, CA

Sources for this page

Verify at the official NPI Registry.