KELLOGG BEACH HOLDINGS LLC
NPI 1962239590
Skilled Nursing Facility in Escondido, CA

Active since September 17, 2024CLIA 05D0573405 · Waiver
1025 W 2ND AVE, ESCONDIDO, CA 92025(760) 745-1842 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 15, 2024, Sep 17, 2024 (2 updates tracked since 2024).

About Kellogg Beach Holdings Llc NPPES

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

KELLOGG BEACH HOLDINGS LLC (NPI 1962239590) is a healthcare organization registered as a skilled nursing facility in Escondido, California and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Toby Tilford, Co-ceo, as its authorized official.

NPPES Registry Identity

NPI1962239590
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameKELLOGG BEACH HOLDINGS LLC
Location Address1025 W 2ND AVEEscondido, CA 92025-3839
Mailing Address16544 Franzen Farm RdSan Diego, CA 92127-2240 · (858) 798-5700
Organization SubpartNo
Authorized OfficialToby TilfordCo-ceo · (858) 774-8342
Enumeration DateSeptember 17, 2024
Last NPPES UpdateNovember 15, 20242 updates tracked since enumeration
NPPES CertifiedNovember 15, 2024
NPI 1962239590 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.
1025 W 2ND AVE, Escondido, CA 92025

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 05D0573405

Kellogg Beach Holdings, LLC Dba Valley Vista Post Acute · Escondido, CA
Active · expires Aug 31, 2026
CLIA Number05D0573405
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorLoan Dao MD
Laboratory Phone(530) 209-0586
Laboratory LocationKellogg Beach Holdings, LLC Dba Valley Vista Post Acute1025 West 2nd Avenue, Escondido, CA 92025
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
1025 W 2ND AVE
ESCONDIDO, CA 92025
Internal Medicine
1025 W 2ND AVE
ESCONDIDO, CA 92025
Physical Medicine & Rehabilitation
1025 W 2ND AVE
ESCONDIDO, CA 92025

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 Kellogg Beach Holdings LLC's NPI number?

The NPI number for Kellogg Beach Holdings LLC is 1962239590. It was assigned to this organization in the NPPES registry on September 17, 2024.

Where is Kellogg Beach Holdings LLC located?

Kellogg Beach Holdings LLC is located at 1025 W 2nd Ave, Escondido, CA 92025. The listed phone number is (760) 745-1842.

What is Kellogg Beach Holdings LLC's specialty?

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

Does Kellogg Beach Holdings LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0573405) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kellogg Beach Holdings LLC was last updated on November 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.