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VETERANS HOME OF CALIFORNIA - FRESNO
NPI 1770903775
Skilled Nursing Facility in Fresno, CA

Active since April 17, 2014CLIA 05D2078390 · Waiver
5/5
Overall Rating
2811 W CALIFORNIA AVE, FRESNO, CA 93706(559) 493-4248(559) 493-4249 Get Directions Write a Review

NPPES record last updated: July 26, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 26, 2017, Jun 19, 2017, Jul 13, 2016 (3 updates tracked since 2016).

About Veterans Home Of California - Fresno NPPES

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

VETERANS HOME OF CALIFORNIA - FRESNO (NPI 1770903775) is a healthcare organization registered as a skilled nursing facility in Fresno, California and active in the NPI registry since April 2014. The organization holds a CLIA Waiver certificate valid through May 26, 2028 and lists Lawrence Imperial, Administrator, as its authorized official.

NPPES Registry Identity

NPI1770903775
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameDEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA
Location Address2811 W CALIFORNIA AVEFresno, CA 93706-2307
Mailing AddressPo Box 942895Sacramento, CA 94295-0001 · (916) 657-9349 · Fax (916) 653-1795
Phone(559) 493-4248
Fax(559) 493-4249
Organization SubpartNo
Authorized OfficialLawrence ImperialAdministrator · (559) 493-4226
Enumeration DateApril 17, 2014
Last NPPES UpdateJuly 26, 20173 updates tracked since enumeration
✔ NPI 1770903775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in CA · 550002640
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.
Also ListedAssisted Living FacilityTaxonomy 310400000X · License 107206701 (CA)
2811 W CALIFORNIA AVE, Fresno, CA 93706
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Other Names 1

Doing Business AsVeterans Home Of California - Fresno

Other Identifiers 1

Other555900CA · Medicare

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Veterans Home Of California - Fresno is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

21

Medicare enrollment records show 21 clinicians reassign Medicare billing to Veterans Home Of California - Fresno, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 9 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Internal Medicine4
Nurse Practitioner4
Registered Dietitian or Nutrition Professional4
Family Practice3
Clinical Psychologist2
General Practice1
Hospice/Palliative Care1
Podiatry1
1 other specialty1

Nearest to this location (20)

See all 21
Jacqueline Espinosa, RD
Registered Dietitian or Nutrition Professional
NPI 1790470623
2811 W CALIFORNIA AVE
Fresno, CA 93706
(559) 493-4400
✔ Accepts MedicareSame address
Antonia Gennock, MS, RD
Registered Dietitian or Nutrition Professional
NPI 1255857678
2811 W CALIFORNIA AVE
Fresno, CA 93706
(559) 493-4544
✔ Accepts MedicareSame address
Francisco Salcedo, M.D
Internal Medicine
NPI 1609958594
4015 N FRESNO ST SUITE 108
Fresno, CA 93726
(559) 266-0759
✔ PECOS✔ Accepts Medicare5.9 mi
Amanda Maestas, RDN
Registered Dietitian or Nutrition Professional
NPI 1609588748
2350 W SHAW AVE STE 106
Fresno, CA 93711
(559) 451-0460
✔ Accepts Medicare6.1 mi
Asha Pritpal Sidhu, MD
Internal Medicine
NPI 1255430286
5771 N FRESNO ST SUITE 109
Fresno, CA 93710
(559) 222-6500
✔ PECOS7.8 mi
Tu Depry, DO
Internal Medicine
NPI 1588625826
2811 W CESAR CHAVEZ BLVD
Fresno, CA 93706
(559) 493-4433
✔ PECOS✔ Accepts Medicare9.0 mi
Oliver Olaivar, NP
Nurse Practitioner
NPI 1669874046
7471 N FRESNO ST
Fresno, CA 93720
(559) 436-4500
✔ PECOS✔ Accepts Medicare9.3 mi
Dwayne Depry, DO
Psychiatry
NPI 1619055118
1221 E SPRUCE AVE
Fresno, CA 93720
(559) 261-2799
✔ PECOS✔ Accepts Medicare9.5 mi
Mara Blanco
Registered Dietitian or Nutrition Professional
NPI 1407687767
2811 W CESAR CHAVEZ BLVD
Fresno, CA 93706
(559) 493-4400
✔ Accepts Medicare10.0 mi
Trent Erney, M.D.
Family Practice
NPI 1265481923
335 E AVENUE I URGENT CARE
Lancaster, CA 93535
(661) 471-4020
✔ PECOS✔ Accepts Medicare177 mi
Paul Fortaleza, D.O.
Family Practice
NPI 1336368190
6350 LAUREL CANYON BLVD STE 205
North Hollywood, CA 91606
(818) 325-2090
✔ PECOS✔ Accepts Medicare193 mi
Warren Gold, MD
General Practice
NPI 1508914573
11500 NIMITZ AVE
Los Angeles, CA 90049
(424) 832-8470
✔ PECOS199 mi
Michael Frese, PH.D.
Clinical Psychologist
NPI 1588975247
11500 NIMITZ AVE
Los Angeles, CA 90049
(424) 832-8200
✔ PECOS✔ Accepts Medicare199 mi
Mark Aminzadeh, MD
Internal Medicine
NPI 1184070427
2070 CENTURY PARK E
Los Angeles, CA 90067
(424) 522-7100
✔ PECOS✔ Accepts Medicare200 mi
Ling Goldman
Nurse Practitioner
NPI 1679233829
1050 ENGLISH OAKS DR
Arcadia, CA 91006
(626) 497-7397
✔ PECOS✔ Accepts Medicare204 mi
Keiko Kanzaki, N.P.
Nurse Practitioner
NPI 1699119636
10850 STEVER ST
Culver City, CA 90230
(310) 714-9821
✔ PECOS✔ Accepts Medicare205 mi
Teri Stiner, DPM
Podiatry
NPI 1841246253
3530 WEST POMONA BLVD
Pomona, CA 91769
(909) 595-1221
✔ PECOS✔ Accepts Medicare217 mi
James Vogus, M.D.
Hospice/Palliative Care
NPI 1649203522
3328 CHURN CREEK RD STE A
Redding, CA 96002
(530) 222-0895
✔ PECOS✔ Accepts Medicare298 mi
Catherine Ludlow, CFNP
Nurse Practitioner
NPI 1518007137
2425 SONOMA ST
Redding, CA 96001
(530) 241-1144
✔ PECOS✔ Accepts Medicare300 mi
Chester Sunde, PSYD
Clinical Psychologist
NPI 1528036332
1302 OREGON ST
Redding, CA 96001
(530) 244-4436
✔ PECOS✔ Accepts Medicare300 mi
See all 21 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 05D2078390

Veterans Home Of California - Fresno · Fresno, CA
Active · expires May 26, 2028
CLIA Number05D2078390
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMay 27, 2026
Certificate Expiration DateMay 26, 2028
Laboratory DirectorAsha P. Sidhu MD
Laboratory Phone(559) 493-4241
Laboratory LocationVeterans Home Of California - Fresno2811 W California Ave, Fresno, CA 93706
CLIA data matches this NPI record on: Address Name
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 Veterans Home Of California - Fresno (CMS certification number 555900), from CMS Care Compare.

Veterans Home Of California - Fresno

Nursing home · Fresno, CA
5/5 CMS Overall Rating
OwnershipGovernment - State
CMS Certification Number555900
Certified Beds120 beds102 residents per day on average
Medicare & Medicaid Participant SinceSeptember 22, 2016
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Staffing
Based on nursing staff hours relative to resident needs.
5/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
42
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 3.17 · LPN 1 · RN 1.34
5.51 hrs per resident per day
Weekend Nurse Staffing
4.79 hrs per resident per day
Physical Therapist Staffing
0.02 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
37.6%
Registered Nurse Turnover
30.3%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
1
Substantiated Complaints
2
Infection-Control Citations
1
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 Department Of Veterans Affairs Of The State Of California's NPI number?

The NPI number for Department Of Veterans Affairs Of The State Of California is 1770903775. It was assigned to this organization in the NPPES registry on April 17, 2014. The provider is doing business as Veterans Home Of California - Fresno.

Where is Department Of Veterans Affairs Of The State Of California located?

Department Of Veterans Affairs Of The State Of California is located at 2811 W California Ave, Fresno, CA 93706. The listed phone number is (559) 493-4248.

What is Department Of Veterans Affairs Of The State Of California's specialty?

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

Is Department Of Veterans Affairs Of The State Of California enrolled in Medicare?

Yes. Department Of Veterans Affairs Of The State Of California is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Department Of Veterans Affairs Of The State Of California?

According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians in 9 Medicare specialties reassign their Medicare billing to Department Of Veterans Affairs Of The State Of California. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (4), Nurse Practitioner (4) and Registered Dietitian or Nutrition Professional (4). Of these, 2 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Department Of Veterans Affairs Of The State Of California hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2078390) is associated with this NPI, valid through May 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Department Of Veterans Affairs Of The State Of California a Medicare-certified nursing home?

Yes. Veterans Home Of California - Fresno is a Medicare-certified nursing home with 120 certified beds.

What quality rating does Department Of Veterans Affairs Of The State Of California have?

CMS rates Veterans Home Of California - Fresno 5 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 Department Of Veterans Affairs Of The State Of California was last updated on July 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.