NPIMap

Organization Active NPI

Coastal Health Care, Inc.

Doing business as Brentwood Health Care Center

  • Skilled Nursing Facility
  • Santa Monica, CA
National Provider Identifier
1962487272
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
910000099 Issued in CA
Legal business name
COASTAL HEALTH CARE, INC.
Doing business as
Brentwood Health Care Center
Practice address
1321 Franklin St
Santa Monica, CA 90404-2603
Phone
(310) 828-5596
NPI assigned
Dec 8, 2005
Last updated
Apr 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Authorized official

Name
Marc Johnson
Title
Cfo
Phone
(949) 373-8373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 910000099 CA Primary

Addresses

Primary practice location

1321 Franklin St
Santa Monica, CA 90404-2603

Mailing address

25910 Acero Ste 350
Mission Viejo, CA 92691-7908
Phone (949) 441-9258

Other identifiers 1

IdentifierTypeStateIssuer
ZZT05711JMedicaidCA

Other names 1

  • BRENTWOOD HEALTH CARE CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030520000030 CA Part A Provider - Skilled Nursing Facility 8022928555 Practice locations: Santa Monica, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962487272. Details of each certification follow.

Skilled nursing facility certification: CCN 055711

Legal name
COASTAL HEALTH CARE, INC.
Doing business as
BRENTWOOD HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 1, 1980
Last certification
Oct 18, 2024
Beds
59
Ownership / control type
Limited Liability Corporation
Multi-facility organization
North American Health Services
Organization structure
CorporationProprietary
Incorporated
Mar 18, 2003 in NV
Enrollment address
1321 Franklin St
Santa Monica, CA 90404-2603
Nursing home name
BRENTWOOD HEALTH CARE CENTER
Affiliated entity
NAHS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Brentwood Health Care CenterCCN 055711 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 1, 1980
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5957.2 residents per day on average
Chain
Nahs12 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
05D0714394Brentwood Health Care Center1321 Franklin St, Santa Monica, CA 90404Certificate of waiverOct 26, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Nahs Employee Stock Ownership Trust Organization, Mission Viejo, CA 5% Or Greater Indirect Ownership Interest Jun 30, 2018
Mark Walton Individual Corporate OfficerSecretary Jun 29, 2018
Corporate DirectorDirector Jun 29, 2018
Edward Begley Organization, Kihei, HI Adp of the SNF Jan 1, 2025
Hong-Phuc Tran Individual Operational/Managerial Control Mar 30, 2023
Adp of the SNF Jan 29, 2026
James Barlow Individual Corporate DirectorDirector Jun 29, 2018
David Weaver Individual Corporate OfficerPresident/Administrator Mar 31, 2023
Corporate DirectorPresident/Administrator Mar 31, 2023
Operational/Managerial ControlAdministrator / President Mar 31, 2023
Managing Control - Governing BodyCorporate Director Mar 31, 2023
Adp of the SNF Mar 31, 2023
Timothy J Paulsen Individual Corporate DirectorChairperson of the Board Jun 29, 2018
Michael J Moore Individual Corporate OfficerPresident Feb 1, 2022
Corporate DirectorDirector Feb 1, 2022
Nahs Holding Inc Organization, Mission Viejo, CA Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 30, 2018 100%
James Ellis-Sherinian Individual Corporate DirectorDirector Oct 1, 2020
Managing Control - Governing BodyCorporate Director Oct 1, 2020
Victor G Lundquist Individual Corporate OfficerSecretary Mar 21, 2018
Nahs Southwest Inc Organization, Mission Viejo, CA Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 30, 2018 100%
Marc Johnson Individual Corporate OfficerTreasurer Nov 20, 2022
Adp of the SNF Nov 20, 2022
Ralph Baja Individual Corporate DirectorDirector Jul 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 11

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

Practitioners & affiliated clinicians

Affiliated clinicians 8

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": "1134000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1962487272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25910 ACERO STE 350",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926917908",
            "telephone_number": "949-441-9258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 FRANKLIN ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042603",
            "telephone_number": "310-828-5596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-08",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "949-373-8373"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "910000099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05711J",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRENTWOOD HEALTH CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BRENTWOOD HEALTH CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.