CITRUS HEIGHTS HEALTH CENTER
NPI 1639726102
Skilled Nursing Facility in Covina, CA

Active since August 20, 2019CLIA Certified · 3 labs
161 S REEDER AVE, COVINA, CA 91724(626) 251-2316 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 17, 2023, Aug 20, 2019 (2 updates tracked since 2019).

About Citrus Heights Health Center NPPES

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

CITRUS HEIGHTS HEALTH CENTER (NPI 1639726102) is a healthcare organization registered as a skilled nursing facility in Covina, California and active in the NPI registry since August 2019. The organization holds 3 active CLIA laboratory certificates and lists Vincent L Gonzaga, Skilled Nursing Administrator, as its authorized official.

NPPES Registry Identity

NPI1639726102
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameMASONIC HOMES OF CALIFORNIA
Location Address161 S REEDER AVECovina, CA 91724-3129
Mailing Address1650 E Old Badillo StCovina, CA 91724-3163 · (626) 251-2316
Organization SubpartYes
Authorized OfficialVincent L GonzagaSkilled Nursing Administrator · (626) 251-2230
Enumeration DateAugust 20, 2019
Last NPPES UpdateOctober 17, 20232 updates tracked since enumeration
NPPES CertifiedOctober 17, 2023
NPI 1639726102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.
161 S REEDER AVE, Covina, CA 91724

Other Names 1

Doing Business AsCitrus Heights Health Center

CLIA Laboratory Certificates CMS CLIA 3

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 05D2286797

Citrus Heights Health Center · Covina, CA
Active · expires Aug 2, 2027
CLIA Number05D2286797
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateAugust 3, 2025
Certificate Expiration DateAugust 2, 2027
Laboratory DirectorDaniel Tavari
Laboratory Phone(626) 251-2230
Laboratory LocationCitrus Heights Health Center161 S Reeder Ave, Covina, CA 91724
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2211918

Masonic Homes Of California Covina · Covina, CA
Active · expires Jan 31, 2027
CLIA Number05D2211918
Laboratory TypeRetirement Community
Certificate Effective DateFebruary 1, 2025
Certificate Expiration DateJanuary 31, 2027
Laboratory DirectorJeffrey Felgner
Laboratory Phone(626) 251-2230
Laboratory LocationMasonic Homes Of California Covina1650 East Old Badillo Street, Covina, CA 91724
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2287729

Citrus Heights Health Center · Covina, CA
Active · expires Aug 15, 2027
CLIA Number05D2287729
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateAugust 16, 2025
Certificate Expiration DateAugust 15, 2027
Laboratory DirectorDaniel Tavari
Laboratory Phone(626) 251-2330
Laboratory LocationCitrus Heights Health Center161 S Reeder Avenue, Covina, CA 91724
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Masonic Homes Of California's NPI number?

The NPI number for Masonic Homes Of California is 1639726102. It was assigned to this organization in the NPPES registry on August 20, 2019. The provider is doing business as Citrus Heights Health Center.

Where is Masonic Homes Of California located?

Masonic Homes Of California is located at 161 S Reeder Ave, Covina, CA 91724. The listed phone number is (626) 251-2316.

What is Masonic Homes Of California's specialty?

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

Does Masonic Homes Of California hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Masonic Homes Of California was last updated on October 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.