Organization Active NPI

Excell Post Acute LLC

  • Skilled Nursing Facility
  • Oakland, CA
National Provider Identifier
1699345900
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
EXCELL POST ACUTE LLC
Practice address
3025 High St
Oakland, CA 94619-1807
Phone
(510) 261-5200
NPI assigned
Jun 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Authorized official

Name
David Johnson
Title
Ceo
Phone
(310) 266-1080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3025 High St
Oakland, CA 94619-1807

Mailing address

3050 Saturn St Ste 201
Brea, CA 92821-6278
Phone (714) 577-3880

Other names 1

  • Excell Health Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211006002032 CA Part A Provider - Skilled Nursing Facility 8628476587 Practice locations: Oakland, CA

Skilled nursing facility certification: CCN 056170

Legal name
EXCELL POST ACUTE LLC
Doing business as
EXCELL HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 4, 1970
Last certification
Nov 21, 2024
Beds
99
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Jul 1, 2021
Organization structure
LLCProprietary
Incorporated
Feb 11, 2021 in CA
Enrollment address
3025 High St
Oakland, CA 94619-1807
Nursing home name
EXCELL HEALTH CARE CENTER
Affiliated entity
DAVID JOHNSON

Care Compare: Nursing home

Medicare Care Compare
Listed as
Excell Health Care CenterCCN 056170
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 4, 1970
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9994.4 residents per day on average
Chain
David Johnson48 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
SMV Oakland Excell LLC Organization, New York, NY LLC, Private equity company Adp of the SNF Jan 1, 2005
David a Johnson Individual 5% Or Greater Indirect Ownership Interest Feb 11, 2021 50%
Operational/Managerial Control Feb 11, 2021
Adp of the SNF Feb 11, 2021
Micheal D Oxford Individual Operational/Managerial Control Jan 3, 2022
Adp of the SNF Jan 3, 2022
Frank a Johnson Individual 5% Or Greater Indirect Ownership Interest Feb 11, 2021 50%
Operational/Managerial Control Feb 11, 2021
Joshua Kochek Individual Operational/Managerial Control Apr 1, 2022
Adp of the SNF Apr 1, 2022
Sun Meridian Management Services LLC Organization, Brea, CA LLC Adp of the SNF Mar 22, 2021
Adrian Dehghanmanesh Individual Corporate OfficerCfo Jul 1, 2021 100%
Operational/Managerial Control Jun 1, 2021
Adp of the SNF Jun 1, 2021
Mary Farrales Individual Adp of the SNF Jan 1, 2023
Elma T Conway Individual Operational/Managerial Control Feb 26, 2022
Adp of the SNF Feb 26, 2022
Excell Post Acute LLC Organization, Brea, CA LLC 5% Or Greater Direct Ownership Interest Jul 1, 2021 100%

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1699345900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 SATURN ST STE 201",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216278",
            "telephone_number": "714-577-3880",
            "fax_number": "714-577-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 HIGH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946191807",
            "telephone_number": "510-261-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELL POST ACUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-266-1080"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excell Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.