St Johns Volunteers

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

220000171 Issued in CA

Legal business name

ST JOHNS VOLUNTEERS

Practice address

2620 Flores St
San Mateo, CA 94403-2320

Phone

(650) 349-2161

Fax

(650) 349-4510

NPI assigned

Aug 16, 2005

Organization subpart

No

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

Authorized official

Name

Jeremy E Grimes

Title

Manager

Phone

(925) 855-0881

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Brookside Skilled Nursing Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Skilled nursing facility certification: CCN 055188

Legal name

ST JOHNS VOLUNTEERS

Doing business as

BROOKSIDE SKILLED NURSING HOSPITAL

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1967

Last certification

Oct 25, 2024

Beds

96

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Nov 28, 1977 in CA

Enrollment address

2620 Flores St
San Mateo, CA 94403-2320

Nursing home name

BROOKSIDE SKILLED NURSING HOSPITAL

Listed as

Brookside Skilled Nursing HospitalCCN 055188

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

5 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Jan 1, 1967

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9678.4 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

Locations

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.

Owners & managing parties with NPI records 4

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

• Inpatient Consultants of California, Inc

  • Internal Medicine Physician
  • Berkeley, CA
  • NPI 1437489994

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Inpatient Consultants of California, Inc.

  • Hospitalist Physician
  • Berkeley, CA
  • NPI 1487930541

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Inpatient Consultants of California, Inc.

  • Hospitalist Physician
  • Berkely, CA
  • NPI 1831134253

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Robert Silva, MD

  • Internal Medicine Physician
  • Los Gatos, CA
  • NPI 1225129836

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 2

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

• St John Kronstadt Home for Aged Russian Americans

  • Skilled Nursing Facility
  • Castro Valley, CA
  • NPI 1861484982

  Serenity 4 Management Services LLC

  CMS ownership
• Spokane United Methodist Homes

  • Skilled Nursing Facility
  • Spokane, WA
  • NPI 1184738247

  Inpatient Consultants of California Inc

  CMS ownership

Affiliated clinicians 2

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

• James J Chen, M.D.

  • Internal Medicine Physician
  • Belmont, CA
  • NPI 1164531141

  Nursing home

  Care Compare affiliation
• Aditi Patel, D.O

  • Internal Medicine Physician
  • Burlingame, CA
  • NPI 1265622898

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308787200000",
    "number": "1952393076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 EXECUTIVE PKWY",
            "address_2": "SUITE 150",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834210",
            "telephone_number": "925-855-0881",
            "fax_number": "925-855-9297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 FLORES ST",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944032320",
            "telephone_number": "650-349-2161",
            "fax_number": "650-349-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOHNS VOLUNTEERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-16",
        "last_updated": "2011-06-23",
        "status": "A",
        "authorized_official_last_name": "GRIMES",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "925-855-0881"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "220000171",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "220000171",
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "CA",
            "license": "220000171",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "CA",
            "license": "220000171",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR05188G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookside Skilled Nursing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anne Spiegel, DDS
• Julie Lynn Spillane
• Charles M Spitz, DDS
• Spring Tide Natural Health
• Alla Sragets, M.D.
• St Matthews Surgery Center
• Christine St. Charles
• Sta Ines Care Home Inc
• Jessica Ann Stafford-Eady, LVN
• Marguerite Stagg

• Skilled Nursing Facility in San Mateo, CA
• Providers in San Mateo, 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 Jun 23, 2011; 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.