NEW BETHANY
NPI 1083602304
Skilled Nursing Facility in Los Banos, CA

Active since October 11, 2005CLIA 05D0965457 · Waiver
4/5
Overall Rating
1441 BERKELEY DR, LOS BANOS, CA 93635(209) 827-8949(209) 827-6375 Get Directions Write a Review

NPPES record last updated: October 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 20, 2021, Jan 8, 2021, Feb 27, 2019 and 1 more (4 updates tracked since 2016).

About New Bethany NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEW BETHANY (NPI 1083602304) is a healthcare organization registered as a skilled nursing facility in Los Banos, California and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through September 20, 2027 and lists Lucinda Fonseca, Administrator, as its authorized official.

NPPES Registry Identity

NPI1083602304
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameNEW BETHANY
Location Address1441 BERKELEY DRLos Banos, CA 93635-9599
Mailing Address1441 Berkeley DrLos Banos, CA 93635-9599 · (209) 827-8949 · Fax (209) 827-6375
Fax(209) 827-6375
Organization SubpartNo
Authorized OfficialLucinda FonsecaAdministrator · (209) 827-8933
Enumeration DateOctober 11, 2005
Last NPPES UpdateOctober 20, 20214 updates tracked since enumeration
NPPES CertifiedOctober 20, 2021
NPI 1083602304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in CA · 040000489
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
1441 BERKELEY DR, Los Banos, CA 93635

Other Identifiers 1

MedicaidLTC 555758FCA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0965457

New Bethany · Los Banos, CA
Active · expires Sep 20, 2027
CLIA Number05D0965457
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 21, 2025
Certificate Expiration DateSeptember 20, 2027
Laboratory DirectorKarthikeya Devireddy MD
Laboratory Phone(209) 827-8949
Laboratory LocationNew Bethany1441 Berkeley Drive, Los Banos, CA 93635
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for New Bethany Skilled Nursing (CMS certification number 555758), from CMS Care Compare.

New Bethany Skilled Nursing

Nursing home · Los Banos, CA
4/5 CMS Overall Rating
OwnershipNon profit - Corporation
CMS Certification Number555758
Certified Beds35 beds22 residents per day on average
Medicare & Medicaid Participant SinceJune 15, 2000
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
2/5
Long-Stay Quality
Quality of care delivered to long-term residents.
2/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
3/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
63.33
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 3.14 · LPN 1.29 · RN 0.6
5.03 hrs per resident per day
Weekend Nurse Staffing
4.23 hrs per resident per day
Physical Therapist Staffing
0 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
28.1%
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is New Bethany's NPI number?

The NPI number for New Bethany is 1083602304. It was assigned to this organization in the NPPES registry on October 11, 2005.

Where is New Bethany located?

New Bethany is located at 1441 Berkeley Dr, Los Banos, CA 93635. The listed phone number is (209) 827-8949.

What is New Bethany's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does New Bethany hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0965457) is associated with this NPI, valid through September 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is New Bethany a Medicare-certified nursing home?

Yes. New Bethany Skilled Nursing is a Medicare-certified nursing home with 35 certified beds.

What quality rating does New Bethany have?

CMS rates New Bethany Skilled Nursing 4 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for New Bethany was last updated on October 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.