Shields Nursing Centers Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

140000276 Issued in CA

Legal business name

SHIELDS NURSING CENTERS INC

Practice address

3230 Carlson Blvd
El Cerrito, CA 94530-3907

Phone

(510) 525-3212

Fax

(510) 525-6832

NPI assigned

Sep 26, 2005

Last updated

Sep 23, 2022By 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

Mr. William M Shields Jr., ADMINISTRATOR

Title

Ceo/President

Phone

(510) 724-9911

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831185735. Details of each certification follow.

• CCN 555364 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 555364

Legal name

SHIELDS NURSING CENTERS INC

Doing business as

SHIELDS NURSING CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

May 17, 1989

Last certification

Nov 17, 2023

Beds

45

Ownership / control type

Corporation

Organization structure

CorporationProprietary

Incorporated

Nov 29, 1978 in CA

Enrollment address

3230 Carlson Blvd
El Cerrito, CA 94530-3907

Nursing home name

SHIELDS NURSING CENTER

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Shields Nursing Centers Inc

  • Skilled Nursing Facility
  • Richmond, CA
  • NPI 1578559480

  8426010141

  Same PAC ID

Listed as

Shields Nursing CenterCCN 555364 · All quality measures

Overall star rating

4 of 5

Health inspections

3 of 5

Staffing

5 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

May 17, 1989

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

4536.2 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Shields Nursing Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Shields Nursing Centers Inc

  • Skilled Nursing Facility
  • Richmond, CA
  • NPI 1578559480
  NPD tax ID

Locations

All disclosed owners & managing parties 18

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.

• Brazell H Carter, M.D.

  • Specialist
  • Richmond, CA
  • NPI 1578736328

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Gurpreet S. Dhugga, MD

  • Internal Medicine Physician
  • Fairfield, CA
  • NPI 1356429161
  NPD (past)

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Anthony E Allen, M.D.

  • Internal Medicine Physician
  • Berkeley, CA
  • NPI 1104846054

  Nursing home

  Care Compare affiliation
• Brazell H Carter, M.D.

  • Specialist
  • Richmond, CA
  • NPI 1578736328

  Nursing home

  Care Compare affiliation
• Claudell Stephens, M.D.

  • Family Medicine Physician
  • Pinole, CA
  • NPI 1437240850

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1831185735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 ALFRED NOBEL DR",
            "city": "HERCULES",
            "state": "CA",
            "postal_code": "945471834",
            "telephone_number": "510-724-9911",
            "fax_number": "510-724-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 CARLSON BLVD",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945303907",
            "telephone_number": "510-525-3212",
            "fax_number": "510-525-6832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIELDS NURSING CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "510-724-9911",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "140000276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55364F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Senior Helpers
• Daniel Sera
• Abby Gail Shalaby
• Beth Sherry
• Guifang Shi
• Anna E Shigeta, M.ED., LMFT
• Shonali Shome
• Jocelyn Lux Shugart, DPT
• Sitasma Inc (Indira Care Home Health)
• Nicole Anne Skinner

• Skilled Nursing Facility in El Cerrito, CA
• Providers in El Cerrito, 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 Sep 23, 2022; 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.