NPIMap

Organization Active NPI

West Escondido Healthcare LLC

  • Skilled Nursing Facility
  • Escondido, CA
National Provider Identifier
1861491490
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
080000042 Issued in CA
Legal business name
WEST ESCONDIDO HEALTHCARE LLC
Practice address
201 North Fig Street
Escondido, CA 92025-3416
Phone
(760) 746-0303
Fax
(760) 738-1749
NPI assigned
Jul 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Authorized official

Name
Soon Burnam
Title
Treasurer
Phone
(949) 540-1249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 080000042 CA Primary

Addresses

Primary practice location

201 North Fig Street
Escondido, CA 92025-3416

Mailing address

201 North Fig Street
Escondido, CA 92025-3416
Phone (760) 746-0303

Other identifiers 1

IdentifierTypeStateIssuer
ZZT05067HMedicaidCA

Other names 1

  • Palomar Vista Healthcare Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030610000022 CA Part A Provider - Skilled Nursing Facility 8921918194 Practice locations: Escondido, CA

Skilled nursing facility certification: CCN 055067

Legal name
WEST ESCONDIDO HEALTHCARE LLC
Doing business as
PALOMAR VISTA HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Jul 1, 2024
Beds
74
Ownership / control type
Corporation
Organization structure
LLCProprietary
Incorporated
May 27, 2003 in NV
Enrollment address
201 N Fig St
Escondido, CA 92025-3416
Nursing home name
PALOMAR VISTA HEALTHCARE CENTER
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Palomar Vista Healthcare CenterCCN 055067
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
4 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
7470.4 residents per day on average
Chain
The Ensign Group342 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0566859Palomar Vista Healthcare Center201 N Fig St, Escondido, CA 92025Certificate of waiverFeb 18, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
The Ensign Group Inc Organization, Mission Viejo, CA Corporation Indirect Ownership Interest Jan 30, 2006 100%
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Jul 1, 2003
Adam Willits Individual Corporate OfficerSole Manager Sep 9, 2024
Flagstone Healthcare South LLC Organization, Mission Viejo, CA LLC 5% Or Greater Direct Ownership Interest Jan 30, 2006 100%
Ctr Partnership LP Organization, San Clemente, CA Adp of the SNF Jul 1, 2003
Caretrust GP LLC Organization, San Clemente, CA LLC Adp of the SNF Jul 1, 2003
Caretrust Reit Inc Organization, San Clemente, CA Corporation Adp of the SNF Jul 1, 2003
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Mar 1, 2011
Shaun Alkema Individual Operational/Managerial ControlAdministrator Jun 20, 2017
Managing Control - Governing BodyAdministrator Jun 20, 2017
Adp of the SNF Jun 20, 2017
Richard Mallo Individual Operational/Managerial Control Feb 16, 2016
Managing Control - Governing BodyMedical Director Feb 16, 2016
Adp of the SNF Feb 16, 2016
Soon Burnam Individual Corporate OfficerSecretary West Escondido Healthcare Feb 1, 2017
Operational/Managerial Control Feb 1, 2017
Fig Street Health Holdings LLC Organization, San Clemente, CA LLC Adp of the SNF Jul 1, 2003

Owners & managing parties with NPI records 1

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

  • Richard Mallo, MD
    • Internal Medicine Physician
    • Escondido, CA
    • NPI 1588699490

    Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 37

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

View all 37

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

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": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1861491490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 NORTH FIG STREET",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253416",
            "telephone_number": "760-746-0303",
            "fax_number": "760-738-1749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NORTH FIG STREET",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253416",
            "telephone_number": "760-746-0303",
            "fax_number": "760-738-1749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST ESCONDIDO HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "080000042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05067H",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113833.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Palomar Vista Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Palomar Vista Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.