NPIMap

Organization Active NPI

Henry Mayo Newhall Memorial Hospital

Doing business as Henry Mayo Newhall Hospital

  • Psychiatric Hospital Unit
  • Valencia, CA
National Provider Identifier
1023140464
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
HENRY MAYO NEWHALL MEMORIAL HOSPITAL
Doing business as
Henry Mayo Newhall Hospital
Practice address
23845 McBean Pkwy
Valencia, CA 91355-2001
Phone
(661) 253-8000
Fax
(661) 200-1042
NPI assigned
Mar 12, 2007
Last updated
Jun 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Authorized official

Name
Mr. Roger E. Seaver
Title
President, Ceo
Phone
(661) 253-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X Primary

Addresses

Primary practice location

23845 McBean Pkwy
Valencia, CA 91355-2001

Mailing address

23845 McBean Pkwy
Valencia, CA 91355-2001
Phone (661) 253-8000

Other identifiers 1

IdentifierTypeStateIssuer
HSM30624FMedicaidCA

Other names 1

  • Henry Mayo Newhall Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070212000706 CA Part A Provider - Hospital 5193789121 1 other NPI on this enrollment
Practice locations: Valencia, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023140464. Details of each certification follow.

Hospital certification: CCN 05S624

Legal name
HENRY MAYO NEWHALL MEMORIAL HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Sep 28, 1972 in CA
Enrollment address
23845 McBean Pkwy
Valencia, CA 91355-2001
Hospital Psychiatric Unit
Hospital subgroups
General, Acute care, Psychiatric 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).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/c65052a3-5b56-4bc7-9da4-b721aa72fb0c/

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Roscoe Lyndon Marter Individual Corporate Director Apr 4, 2011
Holly Schroeder Individual Corporate Director Mar 1, 2021
Don J Nishiguchi Individual Corporate Director Dec 12, 2017
John Barstis Individual Corporate Director Apr 1, 2013
Roger Seaver Individual Corporate OfficerPresident/Ceo Apr 1, 2001
W-2 Managing EmployeeCeo Apr 1, 2001
OtherCeo Apr 1, 2001
Judy Fish Individual Corporate Director Jun 3, 2013
Dale Donohoe Individual Corporate Director May 5, 2008
Donald Kimball Individual Corporate Director Apr 24, 2006
Ted Sirotta Individual Corporate Officer Jun 25, 2018
W-2 Managing Employee Jun 25, 2018
Lakhbinder Palsingh Dhanda Individual Corporate Director Mar 5, 2018

Owners & managing parties with NPI records 3

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1023140464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23845 MCBEAN PKWY",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913552001",
            "telephone_number": "661-253-8000",
            "fax_number": "661-200-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23845 MCBEAN PKWY",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913552001",
            "telephone_number": "661-253-8000",
            "fax_number": "661-200-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY MAYO NEWHALL MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "SEAVER",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "661-253-8000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSM30624F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henry Mayo Newhall Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valencia, CA

Sources for this page

Verify at the official NPI Registry.