Active NPI
F & B Healthcare
- Skilled Nursing Facility
- Riverside, CA
National Provider Identifier
1902902828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 250000171
- Legal business name
- F & B HEALTHCARE
- Practice address
- 8171 Magnolia
Riverside, CA 92504 - Phone
- (951) 687-3842
- Fax
- (951) 687-1690
- NPI assigned
- Sep 16, 2006
- 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
- William C Presnell
- Title
- Cfo
- Phone
- (714) 577-3880
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 250000171 | Primary |
Addresses
Primary practice location
8171 Magnolia
Riverside, CA 92504
Mailing address
3050 Saturn Street
Suite 201
Brea, CA 92821-6278
Phone (714) 577-3880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZT06162J | Medicaid | CA |
Other names 1
- Extended Care Hospital of Riverside
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110302000682 | CA | Part A Provider - Skilled Nursing Facility | 2163603754 | Practice locations: Riverside, CA |
Skilled nursing facility certification: CCN 056162
- Legal name
- F & B HEALTHCARE
- Doing business as
- EXTENDED CARE HOSPITAL OF RIVERSIDE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 1, 1977
- Last certification
- Dec 19, 2024
- Beds
- 99
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- Corporation
- Enrollment address
- 8171 Magnolia Ave
Riverside, CA 92504-3409 - Nursing home name
- EXTENDED CARE HOSPITAL OF RIVERSIDE
- Affiliated entity
- DAVID JOHNSON
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Extended Care Hospital of Riverside
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Sep 1, 1977
- Medicare certification status
- Active
- Certified beds
- 99
- Chain
- David Johnson
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Sun Mar Management Services | Adp of the SNF | Oct 12, 1989 | |
| Pravin M Panchal | Operational/Managerial Control | Sep 1, 2018 | |
| Adp of the SNF | Sep 1, 2018 | ||
| F & B Healthcare | 5% Or Greater Direct Ownership Interest | Jan 25, 1993 | 100% |
| Operational/Managerial Control | Feb 1, 1993 | ||
| Adp of the SNF | Feb 1, 1993 | ||
| Micheal D Oxford | Operational/Managerial Control | Jan 3, 2022 | |
| Adp of the SNF | Jan 3, 2022 | ||
| Frank a Johnson | 5% Or Greater Indirect Ownership Interest | Jan 25, 1993 | 100% |
| Corporate Officer | Jan 25, 1993 | ||
| Corporate Director | Jan 25, 1993 | ||
| Operational/Managerial Control | Jan 25, 1993 | ||
| Riverside Nursing Home Associates, LP | Adp of the SNF | Feb 11, 2025 | |
| Joshua Kochek | Corporate Officer | Apr 1, 2022 | |
| Operational/Managerial Control | Apr 1, 2022 | ||
| Adp of the SNF | Apr 1, 2022 | ||
| Adrian Dehghanmanesh | Corporate Officer | Jul 1, 2021 | |
| Operational/Managerial Control | Jun 1, 2021 | ||
| Adp of the SNF | Jun 1, 2021 | ||
| Mary Farrales | Corporate Officer | Jan 1, 2023 | |
| Adp of the SNF | Jan 1, 2023 | ||
| Adam Ellsworth | Operational/Managerial Control | Mar 16, 2022 | |
| Adp of the SNF | Mar 16, 2022 | ||
| Obioma Ubani-Ukoma | Operational/Managerial Control | Sep 19, 2022 | |
| Adp of the SNF | Sep 1, 2021 |
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
- Riverside, CA
- NPI 1992799530
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Affiliated clinicians 8
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Cardiovascular Disease Physician
- Corona, CA
- NPI 1003919655
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763424000000",
"number": "1902902828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3050 SATURN STREET",
"address_2": "SUITE 201",
"city": "BREA",
"state": "CA",
"postal_code": "928216278",
"telephone_number": "714-577-3880",
"fax_number": "714-577-3895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8171 MAGNOLIA",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "92504",
"telephone_number": "951-687-3842",
"fax_number": "951-687-1690"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "F & B HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-16",
"last_updated": "2025-11-18",
"certification_date": "2025-11-18",
"status": "A",
"authorized_official_last_name": "PRESNELL",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "714-577-3880"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": "250000171",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZT06162J",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Extended Care Hospital of Riverside",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.