Providers
All 12 in CA
OAKHURST SKILLED CARE LLC
NPI 1003697343, organization, Oakhurst, CA, Skilled Nursing Facility
3
Evidence tier
network structure with a list link
- Part of provider network D1-00031, ranked 31 nationally.
score 60 of 100, rank 2560, $0 at stake
Provider networks
D1-00031 ranked 3178 providers around Fresno, CA: 32 hospices, 19 home health agencies, 27 nursing facilities.
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | OAKHURST SKILLED CARE LLC |
| Type | Organization |
| Status | Active |
| NPI issued | October 12, 2023, last updated October 12, 2023 |
| Practice location | 40131 CA-49, Oakhurst, CA 93644, 559-683-2244 |
| Mailing address | 1817 AVENIDA DEL DIABLO, Escondido, CA 92029-3112 |
| Authorized official | SCOTT KIRBY (Manager) |
| Specialties | Skilled Nursing Facility (314000000X, primary) |
In this area
12 providers in Madera County, CA carry an indicator in the public record, with $6.0M at stake between them. The most common is more hours than a day holds, on 10 of them, followed by paid after a public list action on 1. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | TODD SPENCER Madera, CA, ranked 389 | $1K |
|
| 3 | PALMS CARE CENTER LLC Chowchilla, CA, ranked 5218 | $0 |
|
| 4 | QIU ZHONG Madera, CA, ranked 7890 | $733K |
|
| 4 | ESEQUIEL RODRIGUEZ Madera, CA, ranked 7955 | $445K |
|
| 4 | MARK ROWE Madera, CA, ranked 8003 | $275K |
|
| 4 | NAEEM SIDDIQI Madera, CA, ranked 8576 | $2.9M |
|
| 4 | ROSALBA SERRANO RIVERA Madera, CA, ranked 9103 | $694K |
|
| 4 | JORGE LOPEZ-AGUADO Oakhurst, CA, ranked 9142 | $613K |
|
Recent enforcement in CA
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJPleaded guiltyAug 27, 2026
Anaheim Woman Pleads Guilty to Submitting More Than $2.2 Million in Fraudulent Hospice Care Claims to Medicare
Galbraith submitted approximately $2,266,694 in claims to Medicare for hospice services for beneficiaries who did not have a terminal illness with a life expectancy of six months or less, and Medicare paid her company approximately $2,140,606.
DOJCivil settlementAug 26, 2026
DermTech Inc. to Pay Up to $5M to Resolve Allegations It Submitted False Claims to Medicare for Unreliable Skin Cancer Tests
DermTech Inc. submitted claims to Medicare for skin cancer tests conducted with an unvalidated positive control range and for tests lacking sufficient patient RNA, and did not retract results or adequately refund Medicare.
DOJCivil settlementAug 26, 2026
DermTech Inc. to Pay Up to $5M to Resolve Allegations It Submitted False Claims to Medicare for Unreliable Skin Cancer Tests
DermTech Inc. billed Medicare for skin cancer tests conducted using an unvalidated positive control range and for tests with insufficient patient RNA, and did not retract the results or adequately refund Medicare.
DOJCivil settlementAug 24, 2026
Medicare Advantage Provider Monogram Health Agrees to Pay $2.4 Million to Settle False Claims Act Lawsuit
Monogram knowingly submitted diagnosis codes in four HCCs that were not clinically accurate, not supported by medical record documentation, and/or did not require or affect patient care, inflating Medicare Advantage beneficiaries' risk scores and causing CMS to make higher capitated payments to Medicare Advantage Organizations.
DOJCivil settlementAug 24, 2026
Medicare Advantage Provider Monogram Health Agrees to Pay $2.4M to Settle False Claims Act Suit
Monogram Health knowingly submitted diagnosis codes within four HCCs that were not clinically accurate, not supported by medical record documentation, and/or did not require or affect patient care, inflating Medicare Advantage beneficiaries' risk scores and causing CMS to make higher capitated payments to MAOs.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.