Active NPI
San Leandro Health Care Center, Inc.
- Skilled Nursing Facility
- San Leandro, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 02 0000097
- Legal business name
- SAN LEANDRO HEALTH CARE CENTER, INC.
- Practice address
- 368 Juana Ave
San Leandro, CA 94577-0000 - Phone
- (510) 357-4015
- Fax
- (510) 357-3466
- NPI assigned
- Nov 21, 2006
- Last updated
- Jan 13, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pat Poddatoori
- Title
- Owner
- Phone
- (310) 386-3340
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 02 0000097 | CA | Primary |
Addresses
Primary practice location
368 Juana Ave
San Leandro, CA 94577-0000
Mailing address
524 Callan Ave
San Leandro, CA 94577-0000
Phone (510) 352-3402
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030917000006 | CA | Part A Provider - Skilled Nursing Facility | 5294646303 | Practice locations: San Leandro, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1790850329. Details of each certification follow.
Skilled nursing facility certification: CCN 056345
- Legal name
- SAN LEANDRO HEALTH CARE CENTER INC
- Doing business as
- SAN LEANDRO HEALTHCARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 1, 1972
- Last certification
- Nov 7, 2024
- Beds
- 62
- Ownership / control type
- Corporation
- Most recent change of ownership
- Nov 1, 2003
- Organization structure
- Corporation
- Incorporated
- May 13, 2003 in CA
- Enrollment address
- 368 Juana Ave
San Leandro, CA 94577-4811 - Nursing home name
- SAN LEANDRO HEALTHCARE CENTER
- Affiliated entity
- PRATAP PODDATOORI
Care Compare: Nursing home
Medicare Care Compare- Listed as
- San Leandro Healthcare Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Sep 1, 1972
- Medicare certification status
- Active
- Certified beds
- 62
- Chain
- Pratap Poddatoori
National Provider Directory
National Provider DirectoryLocations
368 Juana Ave
San Leandro, CA 94577
Phone (510) 357-4015
524 Callan Ave
San Leandro, CA 94577
Phone (510) 352-3402
Ownership & related parties
All disclosed owners & managing parties 25
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Adp of the SNF | Dec 1, 2021 | ||
| Adp of the SNF | Jul 7, 2025 | ||
| Kanika Kakkar | Operational/Managerial Control | Sep 25, 2023 | |
| Adp of the SNF | Sep 25, 2023 | ||
| Lucilla Lopez | Operational/Managerial Control | Sep 1, 2016 | |
| Adp of the SNF | Dec 1, 2016 | ||
| Adp of the SNF | Apr 1, 2024 | ||
| Adp of the SNF | Nov 1, 2003 | ||
| Terrance J McGregor | Operational/Managerial Control | Aug 1, 2003 | |
| Adp of the SNF | Aug 1, 2003 | ||
| Consuelo M Tamondong | Operational/Managerial Control | Aug 1, 2013 | |
| Adp of the SNF | Aug 1, 2013 | ||
| Carlos Cortez | Operational/Managerial Control | Sep 9, 2024 | |
| Adp of the SNF | Sep 9, 2024 | ||
| Adp of the SNF | Sep 22, 2025 | ||
| Porshia C Wynne | Operational/Managerial Control | Nov 16, 2023 | |
| Adp of the SNF | Nov 16, 2023 | ||
| Hilda Padania | Operational/Managerial Control | Jul 16, 2025 | |
| Adp of the SNF | Jul 16, 2025 | ||
| Cheryl Alcantara | Operational/Managerial Control | Apr 1, 2009 | |
| Adp of the SNF | Apr 1, 2009 | ||
| Vy Tran | Operational/Managerial Control | Nov 18, 2024 | |
| Adp of the SNF | Nov 18, 2024 | ||
| Adp of the SNF | Sep 4, 2003 | ||
| Norma Andres | Operational/Managerial Control | Dec 1, 2004 | |
| Adp of the SNF | Dec 1, 2004 | ||
| Lara Madamba | Operational/Managerial Control | Sep 25, 2023 | |
| Adp of the SNF | Sep 25, 2023 | ||
| Adp of the SNF | Sep 22, 2025 | ||
| Pratap Poddatoori | 5% Or Greater Direct Ownership Interest | May 13, 2003 | 100% |
| Corporate Officer | May 13, 2003 | 100% | |
| Operational/Managerial Control | May 13, 2003 | ||
| Adp of the SNF | May 13, 2003 | ||
| Marianne Ehrenfeld | Operational/Managerial Control | Sep 16, 2023 | |
| Adp of the SNF | Sep 16, 2023 | ||
| Sylvia Guerrero | Operational/Managerial Control | Sep 1, 2022 | |
| Adp of the SNF | Sep 1, 2022 | ||
| Adp of the SNF | Apr 5, 2004 | ||
| Gurpreet Dhugga | Operational/Managerial Control | Dec 16, 2019 | |
| Adp of the SNF | Dec 16, 2019 | ||
| Hycare Inc | Operational/Managerial Control | Sep 7, 2006 | |
| Adp of the SNF | Oct 10, 2025 | ||
| Adp of the SNF | Sep 11, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Fairfield, CA
- NPI 1356429161
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 5
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Red Bluff Health Care Center
- Skilled Nursing Facility
- Red Bluff, CA
- NPI 1518032150
Hycare Inc
-
dba Kyakameena Care Center
- Skilled Nursing Facility
- Berkeley, CA
- NPI 1912072554
Hycare Inc
-
dba Jones Convalescent Hospital
- Skilled Nursing Facility
- San Leandro, CA
- NPI 1659495604
Hycare Inc
-
dba Elmwood Care Center
- Skilled Nursing Facility
- Berkeley, CA
- NPI 1023183662
Hycare Inc
-
dba Willow Pass Health Care Center
- Skilled Nursing Facility
- Concord, CA
- NPI 1699840231
Hycare Inc
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": "1164067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736726400000",
"number": "1790850329",
"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": "945770000",
"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": "368 JUANA AVE",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945770000",
"telephone_number": "510-357-4015",
"fax_number": "510-357-3466"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAN LEANDRO 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": "310-386-3340"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": "02 0000097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Leandro, CA
- Rogelio Salinas Jr.
- Ihsana S Salmon
- Jerome Victor Samelson, O.D.
- Sherwin Babadilla Samson
- Annette Samuel, PHN
- San Leandro Optometry GRP
- San Leandro Sleep Disorders Center, Prof. Corp.
- San Leandro Surgery Center (Estudillo Hospital Corp)
- San Leandro Surgery Center LTD
- San Leandro Unified School District
Sources for this page
- 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.