NPIMap

Organization Active NPI

Morro Bay Holdings LLC

  • Skilled Nursing Facility
  • Concord, CA
National Provider Identifier
1730977828
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MORRO BAY HOLDINGS LLC
Practice address
4367 Concord Blvd
Concord, CA 94521-1145
Phone
(925) 689-7457
NPI assigned
Apr 28, 2025
Last updated
Apr 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Authorized official

Name
Mette K Oconnor
Title
Cfo
Phone
(949) 933-1744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

4367 Concord Blvd
Concord, CA 94521-1145

Mailing address

701 Palomar Airport Rd Ste 230
Carlsbad, CA 92011-1046
Phone (760) 656-6985

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260225000566 CA Part A Provider - Skilled Nursing Facility 0446731715

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730977828. Details of each certification follow.

Skilled nursing facility certification: CCN 555421

Legal name
MORRO BAY HOLDINGS LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 24, 1990
Last certification
Mar 6, 2025
Beds
120
Ownership / control type
Individual
Multi-facility organization
West Harbor Healthcare
Most recent change of ownership
Nov 1, 2025
Organization structure
LLCProprietary
Enrollment address
4367 Concord Blvd
Concord, CA 94521-1145

Care Compare: Nursing home

Medicare Care Compare
Listed as
Stonebrook Post AcuteCCN 555421 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 24, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120109.7 residents per day on average
Penalties (3 years)
1Fines totaling $12,735

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Tanja Ingram Individual Operational/Managerial Control Nov 1, 2025
Adp of the SNF Nov 1, 2025
Alberto Lloren Individual Operational/Managerial Control Nov 1, 2025
Adp of the SNF Nov 1, 2025
Desiree Morgan Individual Operational/Managerial Control Nov 1, 2025
Adp of the SNF Nov 1, 2025
Cameron Rosenhan Individual 5% Or Greater Indirect Ownership InterestCoo Nov 1, 2025 20%
Corporate OfficerCoo Nov 1, 2025
Operational/Managerial Control Nov 1, 2025
Adp of the SNF Nov 1, 2025
Shirley Jackson Individual Operational/Managerial Control Nov 1, 2025
Adp of the SNF Nov 1, 2025
Organization, Fort Smith, AR Corporation Adp of the SNF Nov 1, 2025
Kevin Galbasini Individual 5% Or Greater Indirect Ownership InterestManager, Treasurer Nov 1, 2025 40%
Operational/Managerial Control Nov 1, 2025
Adp of the SNF Nov 1, 2025
Sadna Singh Individual Operational/Managerial Control Nov 1, 2025
Adp of the SNF Nov 1, 2025
West Harbor Healthcare LLC Organization, Concord, CA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Nov 1, 2025 100%
Daniel Gill Individual 5% Or Greater Indirect Ownership InterestManager Nov 1, 2025 40%
Operational/Managerial Control Nov 1, 2025
Adp of the SNF Nov 1, 2025
Sri Vardhan Reddy Kooturu Individual Operational/Managerial Control Nov 1, 2025
Adp of the SNF Nov 1, 2025
Organization, Carlsbad, CA LLC Adp of the SNF Jan 21, 2026
Carolina Pedroza Cruz Individual Operational/Managerial Control Nov 1, 2025
Adp of the SNF Nov 1, 2025
Marina Domingo Individual Operational/Managerial Control Nov 1, 2025
Adp of the SNF Nov 1, 2025

Owners & managing parties with NPI records 1

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

Facilities with the same owner 8

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

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": "1745798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745884800000",
    "number": "1730977828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 PALOMAR AIRPORT RD STE 230",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920111046",
            "telephone_number": "760-656-6985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4367 CONCORD BLVD",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945211145",
            "telephone_number": "925-689-7457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRO BAY HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-28",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A",
        "authorized_official_last_name": "OCONNOR",
        "authorized_official_first_name": "METTE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "949-933-1744"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

Verify at the official NPI Registry.