ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC
NPI 1134152549
General Acute Care Hospital in Santa Rosa, CA

NPI Status: Active since July 09, 2006

Contact Information

1165 MONTGOMERY DR
SANTA ROSA, CA
ZIP 95405
Phone: (707) 525-5300
Fax: (707) 525-5392

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  • Organization
  • General Acute Care Hospital
  • CLIA Number: 05D2221461
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-17-2025

About ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC

This page provides the complete NPI Profile along with additional information for St. Joseph Health Northern California, Llc, a provider established in Santa Rosa, California operating as a General Acute Care Hospital. The healthcare provider is registered in the NPI registry with number 1134152549 assigned on July 2006. The practitioner's primary taxonomy code is 282N00000X with license number 140000648 (CA). The provider is registered as an organization and their NPI record was last updated May 2025. The provider's . The authorized official of this NPI record is Donald Wayne Anderson Jr. (Assistant Secretary Of Enrollments)

NPI
1134152549
Provider Legal Name
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1165 MONTGOMERY DR SANTA ROSA, CA 95405
Location Phone
(707) 525-5300
Location Fax
(707) 525-5392
Mailing Address
PO BOX 31001-3059 PASADENA, CA 91110
Mailing Phone
(707) 522-4343
Mailing Fax
(707) 525-5392
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-09-2006
Last Update Date
05-07-2025
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According to the Inpatient Rehabilitation Facility (IRF) Compare program data this facility is non-profit and was certified on 02-01-2000 This facility might have treated people with Medicare who had these medical conditions during the last year: all other conditions, brain disease or condition (non-traumatic), brain injury (traumatic), hip or femur fracture, hip or knee replacement, amputation or other bone or joint condition, nervous system disorder (excluding stroke), spinal cord disease or condition (non-traumatic), spinal cord injury (traumatic) and stroke

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Acute Care Hospital

Taxonomy Code
282N00000X
Type
Hospitals
License No.
140000648
License State
CA
Taxonomy Description
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DONALD WAYNE ANDERSON JR.

Authorized Official Title
ASSISTANT SECRETARY OF ENROLLMENTS
Authorized Official Phone
(425) 358-9786

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
HSM00174FMEDICAID (05)CA 
ZZR00174FMEDICAID (05)CA 
HSP40174FMEDICAID (05)CA 

Inpatient Rehabilitation Information

The Centers for Medicare and Medicaid Services Inpatient Rehabilitation Facility (IRF) data provides information on the quality of care that rehabilitation facilities are providing to their patients. This information can help consumers make informed decisions about health care.

  • ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC has an ownership type of Non-profit
  • The facility received it's medicare certification date on 02-01-2000
Rehabilitation facility number of episodes of treated medical conditions.
Medical Condition Times Conditions Treated
All other conditionsLess than 11 - The number of cases/patient stays is too small to report.
Brain disease or condition (non-traumatic)Less than 11 - The number of cases/patient stays is too small to report.
Brain injury (traumatic)24
Hip or femur fractureLess than 11 - The number of cases/patient stays is too small to report.
Hip or knee replacement, amputation or other bone or joint condition21
Nervous system disorder (excluding stroke)Less than 11 - The number of cases/patient stays is too small to report.
Spinal cord disease or condition (non-traumatic)18
Spinal cord injury (traumatic)Less than 11 - The number of cases/patient stays is too small to report.
Stroke70

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2221461
Facility Type
Physician Office
Certificate Effective Date
July 18, 2023
Certificate Expiration Date
July 17, 2025
Laboratory Director
JAMES TRAPNELL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to St. Joseph Health Northern California, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1134152549
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
216425458
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 2 + 5 + 4 + 5 + 8 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1134152549 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1154314375MS. SHARON JEAN MCDONALD RNFA
Individual
Registered Nurse1165 MONTGOMERY DR SANTA ROSA MEMORIAL HOSPITAL
SANTA ROSA, CA 95405
(707) 525-5272
1811951346DR. ERIC JOSEPH MARGOLIS M.D.
Individual
Pediatrics (Neonatal-Perinatal Medicine)1165 MONTGOMERY DR
SANTA ROSA, CA 95405
(707) 525-5368
1144287509 JOHN WOLFE MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1165 MONTGOMERY DR PATHOLOGY DEPT
SANTA ROSA, CA 95405
(209) 575-4575
1932166394 RICHARD WILBER MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1165 MONTGOMERY DR PATHOLOGY DEPT
SANTA ROSA, CA 95405
(209) 575-4575
1447208921 MARK DEMEO MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1165 MONTGOMERY DR PATHOLOGY DEPT
SANTA ROSA, CA 95405
(209) 575-4575
1902855620 DIRK THOMAS SCHERMER MD
Individual
Anesthesiology1165 MONTGOMERY DR
SANTA ROSA, CA 95405
(707) 546-3210
1255380978 MARGARET ANNE MCEVOY MD
Individual
Anesthesiology1165 MONTGOMERY DR
SANTA ROSA, CA 95405
(707) 546-3210
1477502904 CHARLES GEOFFREY DEMITZ MD
Individual
Anesthesiology1165 MONTGOMERY DR
SANTA ROSA, CA 95405
(707) 546-3210
1093764532 MARGARET ANN FANUCCHI MD
Individual
Anesthesiology1165 MONTGOMERY DR
SANTA ROSA, CA 95405
(707) 546-3210
1861441305 DYKE WILLIAM FINLEY MD
Individual
Anesthesiology1165 MONTGOMERY DR
SANTA ROSA, CA 95405
(707) 546-3210
1518917814 DONALD JOSEPH LOARIE MD
Individual
Anesthesiology1165 MONTGOMERY DR
SANTA ROSA, CA 95405
(707) 546-3210
1154370690 BLAIR ARTHUR HALLIDAY MD
Individual
Anesthesiology1165 MONTGOMERY DR
SANTA ROSA, CA 95405
(707) 546-3210
1689624538 DONALD STEVEN REEVES MD
Individual
Anesthesiology1165 MONTGOMERY DR
SANTA ROSA, CA 95405
(707) 546-3210
1588614598 BRIAN T MARSH MD
Individual
Anesthesiology1165 MONTGOMERY DR
SANTA ROSA, CA 95405
(707) 546-3210
1568412575 RICHARD STRUNIN MD
Individual
Anesthesiology1165 MONTGOMERY DR
SANTA ROSA, CA 95405
(707) 546-3210
1972553832 KAREN MARIE SCHMIDT DO
Individual
Anesthesiology1165 MONTGOMERY DR
SANTA ROSA, CA 95405
(707) 546-3210
1063462893 DARIN DEE BRUNSON MD
Individual
Anesthesiology1165 MONTGOMERY DR
SANTA ROSA, CA 95405
(707) 546-3210
1326098153 PETER EGON SYBERT MD
Individual
Anesthesiology1165 MONTGOMERY DR
SANTA ROSA, CA 95405
(707) 546-3210
1043260904 ROBERT JOHN WOOD MD
Individual
Anesthesiology1165 MONTGOMERY DR
SANTA ROSA, CA 95405
(707) 546-3210
1689624611 JOHN RICHARD YOUNG JR. MD
Individual
Anesthesiology1165 MONTGOMERY DR
SANTA ROSA, CA 95405
(707) 546-3210

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134152549, enumerated in the NPI registry as an "organization" on July 09, 2006

The provider is located at 1165 Montgomery Dr Santa Rosa, Ca 95405 and the phone number is (707) 525-5300

This medical organization specializes in General Acute Care Hospital with taxonomy code 282N00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 05D2221461 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on July 09, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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