Ghc of Lakeside, LLC
NPI 1790789170 · Skilled Nursing Facility · Lakeside, CA
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ghc of Lakeside, LLC is a Skilled Nursing Facility organization in Lakeside, CA (NPI 1790789170).
Provider details
- NPI number
- 1790789170
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Lois Mastrocola, Chief Financial Officer(714) 241-5600
- License
- 080000111 (CA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Lakeside Special Care Center
Registry dates
- Enumerated
- 2005-06-13
- Last updated
- 2024-08-05
- Certified
- 2024-08-01
Frequently asked questions
- What is Ghc of Lakeside, LLC's NPI number?
- Ghc of Lakeside, LLC's National Provider Identifier (NPI) is 1790789170, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ghc of Lakeside, LLC?
- Ghc of Lakeside, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Ghc of Lakeside, LLC located?
- Ghc of Lakeside, LLC's practice location on file with NPPES is 11962 Woodside Ave, Lakeside, CA 92040-2914.
- What is Ghc of Lakeside, LLC's phone number?
- The practice phone number listed in the NPPES registry for Ghc of Lakeside, LLC is (619) 561-1222.
- Does Ghc of Lakeside, LLC accept Medicare?
- Ghc of Lakeside, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ghc of Lakeside, LLC?
- The authorized official listed on Ghc of Lakeside, LLC's NPPES record is Lois Mastrocola, Chief Financial Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ghc of Lakeside, LLC's NPI active?
- Yes — Ghc of Lakeside, LLC's NPI (1790789170) is active in the NPPES registry as of the last update on 2024-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.