NPIMap

Organization Active NPI

Northgate Postacute Care

  • Skilled Nursing Facility
  • San Rafael, CA
National Provider Identifier
1689053274
Registry record updated Dec 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
NORTHGATE POSTACUTE CARE
Practice address
40 Professional Center Parkway
San Rafael, CA 94903-2703
Phone
(415) 479-1230
Fax
(562) 457-5584
NPI assigned
May 28, 2015
Last updated
Dec 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2025

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

Authorized official

Name
Mr. Maneesh Bansal, M.D.
Title
Ceo
Phone
(424) 349-7108

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 010000374 CA
Skilled Nursing Facility 314000000X CA Primary

Addresses

Primary practice location

40 Professional Center Parkway
San Rafael, CA 94903-2703

Mailing address

721 N Euclid St Ste 200
Anaheim, CA 92801-4116
Phone (424) 349-7108

Other identifiers 1

IdentifierTypeStateIssuer
010000374OtherCALICENSE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160226001952 CA Part A Provider - Skilled Nursing Facility 2264741750 Practice locations: San Rafael, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689053274. Details of each certification follow.

Skilled nursing facility certification: CCN 056430

Legal name
NORTHGATE POSTACUTE CARE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 22, 1974
Last certification
Sep 24, 2021
Beds
52
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Reliant Management
Organization structure
CorporationProprietary
Incorporated
Mar 30, 2015 in CA
Enrollment address
40 Professional Center Pkwy
San Rafael, CA 94903-2703
Nursing home name
NORTHGATE POSTACUTE CARE
Affiliated entity
RMG CAPITAL PARTNERS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Northgate Postacute CareCCN 056430 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 22, 1974
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5247.8 residents per day on average
Chain
RMG Capital Partners9 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
5Fines totaling $112,869

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
05D0722991Northgate Postacute Care40 Professional Center Pkwy, San Rafael, CA 94903Certificate of waiverAug 24, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Reliant Management Group, LLC Organization, Anaheim, CA LLC, Management services company, Consulting firm Operational/Managerial Control Apr 16, 2015 100%
Maneesh a Bansal Individual 5% Or Greater Indirect Ownership InterestCeo Apr 17, 2023 33.33%
Corporate OfficerCeo Mar 30, 2015 33.33%
Operational/Managerial ControlCeo Mar 30, 2015 33.33%
Jagan N Bansal Individual 5% Or Greater Indirect Ownership Interest Apr 17, 2023 50%
Corporate Director Mar 30, 2015 50%
RMG Capital Partners, LLC Organization, Anaheim, CA LLC, Holding company 5% Or Greater Direct Ownership Interest Jan 1, 2019 100%

Owners & managing parties with NPI records 2

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

  • Jagan Bansal, M.D.
    • Pulmonary Disease Physician
    • Los Angeles, CA
    • NPI 1932102456

    5% Or Greater Indirect Ownership Interest, Corporate Director

    CMS ownership
  • Maneesh A Bansal, M.D.
    • Internal Medicine Physician
    • Los Angeles, CA
    • NPI 1063615102

    5% Or Greater Indirect Ownership Interest, Corporate Officer, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 9

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766534400000",
    "number": "1689053274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 N EUCLID ST STE 200",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928014116",
            "telephone_number": "424-349-7108",
            "fax_number": "562-457-5584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 PROFESSIONAL CENTER PARKWAY",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032703",
            "telephone_number": "415-479-1230",
            "fax_number": "562-457-5584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHGATE POSTACUTE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-28",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A",
        "authorized_official_last_name": "BANSAL",
        "authorized_official_first_name": "MANEESH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "424-349-7108",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "010000374",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "010000374",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

Verify at the official NPI Registry.