Organization Active NPI

Ahmc Seton Medical Center LLC

Doing business as Seton Medical Center ,Seton Medical Center Coastside

  • General Acute Care Hospital
  • Daly City, CA
National Provider Identifier
1023636545
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
AHMC SETON MEDICAL CENTER LLC
Doing business as
Seton Medical Center ,Seton Medical Center Coastside
Practice address
1900 Sullivan Ave
Daly City, CA 94015-2200
Phone
(650) 992-4000
NPI assigned
Jul 10, 2020
Last updated
Jul 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2020

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

Authorized official

Name
Linda Marsh
Title
Senior Executive Vice President
Phone
(626) 705-0972

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NU Primary

Addresses

Primary practice location

1900 Sullivan Ave
Daly City, CA 94015-2200

Mailing address

55 S Raymond Ave Ste 105
Alhambra, CA 91801-7101
Phone (626) 705-0972

Other identifiers 1

IdentifierTypeStateIssuer
ZZR00289GMedicaidCA

Other names 1

  • SETON MEDICAL CENTER ,SETON MEDICAL CENTER COASTSIDE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210303000977 CA Part A Provider - Hospital 3577978048 1 other NPI on this enrollment
Practice locations: Daly City, CA; Moss Beach, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023636545. Details of each certification follow.

Hospital certification: CCN 050289

Legal name
AHMC SETON MEDICAL CENTER LLC
Doing business as
AHMC SETON MEDICAL CENTER COASTSIDE
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Dec 19, 2024
Beds
191 (126 certified)
Ownership / control type
Private (for profit)
Most recent change of ownership
Jan 1, 2002 (1 total)
Organization structure
LLCProprietary
Incorporated
Apr 23, 2020 in CA
Enrollment address
1900 Sullivan Ave
Daly City, CA 94015-2200
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Long-term, 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.

Care Compare: Hospital

Medicare Care Compare
Listed as
Ahmc Seton Medical CenterCCN 050289 · All quality measures
Overall star rating
1 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Ahmc Seton Medical Center LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Ahmc, Inc. Organization, Alhambra, CA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jan 27, 2021 7.64%
Mochi Group LP Organization, San Marino, CA For-profit 5% Or Greater Direct Ownership Interest Jan 27, 2021 19%
Olivia Joy Investment Corp Organization, San Marino, CA Corporation, For-profit 5% Or Greater Direct Ownership Interest Jan 27, 2021 20%
Hung Wen Wu Individual 5% Or Greater Indirect Ownership Interest Jan 27, 2021 32.73%
Ahmc Healthcare Inc. Organization, Alhambra, CA Corporation, For-profit Operational/Managerial Control Jan 27, 2021
Ahmc Healthcare, LP Organization, Alhambra, CA For-profit 5% Or Greater Direct Ownership Interest Jan 27, 2021 60.75%
Joy Yu Chu Lin Individual 5% Or Greater Indirect Ownership Interest Jan 27, 2021 10%
Yi Kun Wu Individual 5% Or Greater Indirect Ownership Interest Jan 27, 2021 7.64%
Sarkis Vartanian Individual Corporate OfficerInterim Ceo Apr 26, 2021
Helen Tam Individual Corporate OfficerCfo Jan 27, 2021
W-2 Managing EmployeeCfo Jan 27, 2021
Jonathan Y.H. Wu Individual Operational/Managerial Control Jan 27, 2021
Amy Shlow- Yeh Liang Individual 5% Or Greater Indirect Ownership Interest Jan 27, 2021 5.45%
Matthew Yuan Ching Lin Individual 5% Or Greater Indirect Ownership Interest Jan 27, 2021 10%
Alhambra Hospital Medical Center, LP Organization, Alhambra, CA For-profit 5% Or Greater Indirect Ownership Interest Jan 27, 2021 19.88%
Bin Fen Cheng Individual Other Jan 27, 2021
Calmed Investment LP Organization, Alhambra, CA For-profit 5% Or Greater Indirect Ownership Interest Jan 27, 2021 34.67%

Owners & managing parties with NPI records 3

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

Facilities with the same owner 17

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

View all 17

Practitioners & affiliated clinicians

Affiliated clinicians 152

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

View all 152

NPI Registry JSON

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

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594339200000",
    "number": "1023636545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 S RAYMOND AVE STE 105",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918017101",
            "telephone_number": "626-705-0972",
            "fax_number": "626-457-7489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SULLIVAN AVE",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152200",
            "telephone_number": "650-992-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHMC SETON MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-10",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A",
        "authorized_official_last_name": "MARSH",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "SENIOR EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "626-705-0972"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR00289G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SETON MEDICAL CENTER ,SETON MEDICAL CENTER COASTSIDE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Daly City, CA

Sources for this page

Verify at the official NPI Registry.