Organization Active NPI

1527 Springs Road LLC

  • Skilled Nursing Facility
  • Vallejo, CA
National Provider Identifier
1831811207
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
1527 SPRINGS ROAD LLC
Practice address
1527 Springs Rd
Vallejo, CA 94591-5448
Phone
(707) 643-2793
NPI assigned
Sep 13, 2022
Last updated
Oct 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Authorized official

Name
Richard Martin
Title
Manager
Phone
(707) 643-2793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1527 Springs Rd
Vallejo, CA 94591-5448

Mailing address

4747 Viewridge Ave Ste 105
San Diego, CA 92123-1688
Phone (619) 402-3044

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230907003290 CA Part A Provider - Skilled Nursing Facility 0244694354 Practice locations: Vallejo, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831811207. Details of each certification follow.

Skilled nursing facility certification: CCN 055222

Legal name
1527 SPRINGS ROAD, LLC
Doing business as
SPRINGS ROAD HEALTHCARE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1974
Last certification
Mar 13, 2025
Beds
65
Ownership / control type
Corporation
Multi-facility organization
Buena Vista Healthcare
Most recent change of ownership
Feb 1, 2023
Organization structure
LLCProprietary
Enrollment address
1527 Springs Rd
Vallejo, CA 94591-5448
Nursing home name
SPRINGS ROAD HEALTHCARE
Affiliated entity
BVHC, LLC

Care Compare: Nursing home

Medicare Care Compare
Listed as
Springs Road HealthcareCCN 055222 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 1, 1974
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6560.1 residents per day on average
Chain
BVHC, LLC12 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

4747 Viewridge Ave
Ste 105
San Diego, CA 92123

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Princes Valerie Anierdes Individual Operational/Managerial Control Feb 1, 2023
Adp of the SNF Feb 1, 2023
BVHC, LLC Organization, San Diego, CA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 1, 2023 100%
Nischal Thapa Individual Operational/Managerial Control Aug 6, 2024
Adp of the SNF Aug 6, 2024
Redentor Batin Calabazaron Individual Operational/Managerial Control Feb 14, 2022
Adp of the SNF Feb 14, 2022
Bryan Boehrer Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2023 50%
Connor Airey Individual Operational/Managerial Control Jun 1, 2024
Adp of the SNF Jun 1, 2024
Gurpreet Dhugga Individual Operational/Managerial Control Jan 1, 2023
Adp of the SNF Jan 1, 2023
Desire Espinoza Individual Operational/Managerial Control Feb 18, 2025
Adp of the SNF Feb 18, 2025
Richard Martin Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2023 50%
Edgar Secena Individual Operational/Managerial Control Feb 1, 2023
Adp of the SNF Feb 1, 2023
Francia Ballesteros Individual Operational/Managerial Control Feb 1, 2023
Adp of the SNF Feb 1, 2023

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 10

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

NPI Registry JSON

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1831811207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 VIEWRIDGE AVE STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231688",
            "telephone_number": "619-402-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1527 SPRINGS RD",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945915448",
            "telephone_number": "707-643-2793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1527 SPRINGS ROAD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "707-643-2793"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

Verify at the official NPI Registry.