Willow Pass Health Care Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

14 0000259 Issued in CA

Legal business name

WILLOW PASS HEALTH CARE CENTER, INC.

Doing business as

Willow Pass Health Care Center

Practice address

3318 Willow Pass Rd
Concord, CA 94519-2316

Phone

(925) 689-9222

Fax

(925) 689-9315

NPI assigned

Nov 21, 2006

Last updated

Jan 13, 2025By 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

Pat Poddatoori

Title

Owner

Phone

(510) 677-3566

Specialties & licenses 1

Addresses

Other names 1

• Willow Pass Health Care Center 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 1699840231. Details of each certification follow.

• CCN 055241 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 055241

Legal name

WILLOW PASS HEALTH CARE CENTER INC

Doing business as

WILLOW PASS HEALTHCARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1967

Last certification

Oct 14, 2022

Beds

81

Ownership / control type

Corporation

Most recent change of ownership

Nov 1, 2003

Organization structure

CorporationProprietary

Incorporated

May 13, 2003 in CA

Enrollment address

3318 Willow Pass Rd
Concord, CA 94519-2316

Nursing home name

WILLOW PASS HEALTHCARE CENTER

Affiliated entity

PRATAP PODDATOORI

Listed as

Willow Pass Healthcare CenterCCN 055241 · All quality measures

Overall star rating

3 of 5

Health inspections

2 of 5

Staffing

4 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jan 1, 1967

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

8178.5 residents per day on average

Chain

Pratap Poddatoori6 facilities in the chain

Penalties (3 years)

2Fines totaling $45,702

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 28

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.

• Gurpreet S. Dhugga, MD

  • Internal Medicine Physician
  • Fairfield, CA
  • NPI 1356429161

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 5

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

• Red Bluff Health Care, Inc.

  dba Red Bluff Health Care Center

  • Skilled Nursing Facility
  • Red Bluff, CA
  • NPI 1518032150

  Hycare Inc

  CMS ownership
• San Leandro Health Care Center, Inc.

  • Skilled Nursing Facility
  • San Leandro, CA
  • NPI 1790850329

  Hycare Inc

  CMS ownership
• Sanhyd, Inc

  dba Kyakameena Care Center

  • Skilled Nursing Facility
  • Berkeley, CA
  • NPI 1912072554

  Hycare Inc

  CMS ownership
• Sanhyd, Inc.

  dba Jones Convalescent Hospital

  • Skilled Nursing Facility
  • San Leandro, CA
  • NPI 1659495604

  Hycare Inc

  CMS ownership
• Shattuck Healthcare Inc

  dba Elmwood Care Center

  • Skilled Nursing Facility
  • Berkeley, CA
  • NPI 1023183662

  Hycare Inc

  CMS ownership

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1699840231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 CALLAN AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774610",
            "telephone_number": "510-352-3402",
            "fax_number": "510-352-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3318 WILLOW PASS RD",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945192316",
            "telephone_number": "925-689-9222",
            "fax_number": "925-689-9315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW PASS HEALTH CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A",
        "authorized_official_last_name": "PODDATOORI",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-677-3566"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "14 0000259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow Pass Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew John Willis
• Desiree Esperanza Willis
• Elijah Willis
• Jadzia Willis
• Paris Willis
• Lance Wills Jr.
• Hannah Grace Wills
• Kristofer Wills, DO
• Patrice T Wills
• Macy Willyard

• Skilled Nursing Facility in Concord, CA
• Providers in Concord, 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 Jan 13, 2025; 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.