NPIMap

Organization Active NPI

Mission Hospital Regional Medical Center

Doing business as Providence Mission Hospital

  • Rehabilitation Hospital
  • Mission Viejo, CA
National Provider Identifier
1003956913
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
MISSION HOSPITAL REGIONAL MEDICAL CENTER
Doing business as
Providence Mission Hospital
Practice address
27700 Medical Center Rd
Mission Viejo, CA 92691-6426
Phone
(949) 364-1400
NPI assigned
Feb 8, 2007
Last updated
May 9, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
MISSION HOSPITAL REGIONAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Donald W Anderson Jr.
Title
Assistant Secretary Enrollments
Phone
(425) 358-9786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X Primary

Addresses

Primary practice location

27700 Medical Center Rd
Mission Viejo, CA 92691-6426

Mailing address

27700 Medical Center Rd
Mission Viejo, CA 92691-6426
Phone (949) 364-1400

Other names 1

  • PROVIDENCE MISSION HOSPITAL Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090717000557 CA Part A Provider - Hospital 7416045893 Practice locations: Mission Viejo, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003956913. Details of each certification follow.

Hospital certification: CCN 05T567

Legal name
MISSION HOSPITAL REGIONAL MEDICAL CENTER
Doing business as
PROVIDENCE MISSION HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Jun 3, 1994 in CA
Enrollment address
27700 Medical Center Rd
Mission Viejo, CA 92691
Hospital Rehabilitation Unit
Hospital subgroups
Acute care, Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Mission HospitalCCN 05T567 · All quality measures
Ownership
Non-profit
Certified
Jan 1, 1993

National Provider Directory

National Provider Directory
Tax ID family
St Luke Hospital5 organizations share this tax ID, including this one
Part of
St Luke Hospital

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 24

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Reza Dehkordi Individual Corporate DirectorBoard Member Jan 1, 2020
Herlinda E Ramirez Machado Individual Corporate DirectorBoard Member Jan 1, 2023
Gloria M Muro Individual Corporate DirectorBoard Member Jan 1, 2024
Jeffrey M Robey Individual Corporate OfficerChief Financial Officer Jan 5, 2026
Raul Marquez Individual Corporate DirectorBoard Member Jan 1, 2023
Michael a Moodian Individual Corporate DirectorBoard Member Jan 1, 2023
Providence Health & Services - Washington Organization, Renton, WA Corporation, Non-profit Operational/Managerial Control Jul 1, 2016
Brandon Biegenzahn Individual Corporate DirectorBoard Member Jan 1, 2026
Virginia Ripslinger Individual Corporate DirectorBoard Member Jan 1, 2020
Elizabeth D Jensen Individual Corporate DirectorBoard Member Jan 1, 2023
Katherine Francis Broderick Individual Corporate OfficerSecretary Nov 14, 2025
Stephen L Tocci Individual Corporate DirectorBoard Member Apr 26, 2021
Josh M Randall Individual Corporate DirectorBoard Member Jan 1, 2023
James Martin Individual Corporate OfficerAssistant Treasurer Jan 13, 2023
Donald Wayne Anderson Individual Corporate OfficerAssistant Secretary of Enrollments May 18, 2018
Linda M Fortunato-Sieglen Individual Corporate DirectorBoard Member Jan 1, 2023
Gregory David Hoffman Individual Corporate OfficerPresident/Ceo & Treasurer Oct 1, 2020
Mission Hospital Regional Medical Center Organization, Mission Viejo, CA Corporation, Non-profit 5% Or Greater Direct Ownership Interest May 31, 1994 100%
St. Joseph Health System Organization, Irvine, CA Corporation Other Jun 2, 1994
Seth R Teigen Individual Corporate OfficerCeo Aug 1, 2019
W-2 Managing EmployeeCeo Aug 1, 2019
James C Bastian Individual Corporate DirectorBoard Member Jan 1, 2023
Serena E Benson Individual Corporate DirectorBoard Member Jan 1, 2024
Jeremy T Laster Individual Corporate DirectorBoard Member Mar 23, 2023
Providence St. Joseph Health Organization, Renton, WA Corporation, Non-profit Other Jul 1, 2016

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Providence Mission HospitalMission Viejo, CA, CCN 050567 Hospital 5% Or Greater Direct Ownership Interest (100%) May 31, 1994
Providence Mission HospitalLaguna Beach, CA, CCN 05S567 Hospital 5% Or Greater Direct Ownership Interest May 31, 1994

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 139

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 139

Practitioners & affiliated clinicians

Practitioners 622

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 622

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746748800000",
    "number": "1003956913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27700 MEDICAL CENTER RD",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916426",
            "telephone_number": "949-364-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27700 MEDICAL CENTER RD",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916426",
            "telephone_number": "949-364-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION HOSPITAL REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MISSION HOSPITAL REGIONAL MEDICAL CENTER",
        "enumeration_date": "2007-02-08",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY ENROLLMENTS",
        "authorized_official_telephone_number": "425-358-9786",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROVIDENCE MISSION HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.