NPIMap

Organization Active NPI

Port City Operating Company, LLC

Doing business as St. Joseph's Behavioral Health Center

  • Psychiatric Hospital
  • Stockton, CA
National Provider Identifier
1053443473
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
030000367 Issued in CA
Legal business name
PORT CITY OPERATING COMPANY, LLC
Doing business as
St. Joseph's Behavioral Health Center
Practice address
2510 N California St
Stockton, CA 95204-5502
Phone
(858) 275-8112
Fax
(779) 803-8118
NPI assigned
Mar 12, 2007
Last updated
Aug 11, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
PORT CITY OPERATING COMPANY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Authorized official

Name
Daniel Morisette
Title
System Chief Financial Officer
Phone
(858) 275-8112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 030000367 CA Primary

Addresses

Primary practice location

2510 N California St
Stockton, CA 95204-5502

Mailing address

PO Box 213008
Stockton, CA 95213-9008
Phone (858) 275-8112

Other identifiers 5

IdentifierTypeStateIssuer
HSP30201JMedicaidCA
ZZZA3902ZOtherBLUE SHIELD
721561125952040001OtherTRICARE
721561125OtherIRS
HSP40201JMedicaidCA

Other names 1

  • St. Joseph's Behavioral Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160516001783 CA Part A Provider - Hospital 5597054452 Practice locations: Stockton, CA
O20170822003812 CA Part B Supplier - Clinic/Group Practice 5597054452 Receives reassigned benefits from 13 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Stockton, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053443473. Details of each certification follow.

Hospital certification: CCN 054123

Legal name
PORT CITY OPERATING COMPANY LLC
Doing business as
ST JOSEPHS BEHAVIORAL HEALTH CENTER
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Oct 4, 1990
Last certification
Apr 1, 2025
Beds
35
Ownership / control type
Private (for profit)
Most recent change of ownership
Jun 1, 2016 (2 total)
Organization structure
LLCNon-profit
Incorporated
Mar 28, 2014 in CA
Enrollment address
2510 N California St
Stockton, CA 95204-5502
Main/Primary Hospital Location
Hospital subgroups
Psychiatric

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
St Joseph's Behavioral Health CenterCCN 054123 · All quality measures
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0908311St Joseph's Behavioral Health Center2510 N California Street, Stockton, CA 95204Certificate of waiverNov 1, 2027

National Provider Directory

National Provider Directory
Tax ID family
Port City Operating Company LLC4 organizations share this tax ID, including this one
Part of
Port City Operating Company LLC

Other organizations with this tax ID 3

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

Member of 2

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

Member organizations 1

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

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Marvin O'Quinn Individual OtherDignity Health President, Ceo Aug 1, 2022
Commonspirit Health Organization, Chicago, IL Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2019 80%
Donald J Wiley Individual Corporate OfficerCeo/President May 1, 2016
W-2 Managing EmployeeCeo/President May 1, 2016
Dignity Health Organization, San Francisco, CA Corporation, Non-profit 5% Or Greater Direct Ownership Interest May 1, 2016 80%
Operational/Managerial Control May 1, 2016 80%
Susan Pietrafeso Individual Corporate DirectorDirector May 18, 2022
Marty J Ardron Individual Corporate DirectorBoard Member Dec 4, 2020
Julie Sprengel Individual Corporate DirectorDirector Jul 29, 2021
Andrea N. Ochoa Individual Corporate OfficerChief Financial Officer Dec 24, 2017
W-2 Managing EmployeeChief Financial Officer Dec 24, 2017
Aphriekah Duhaney-West Individual Corporate DirectorDirector Apr 22, 2022
Debra L Cunningham Individual Corporate OfficerChair, Director Oct 1, 2022
Corporate DirectorChair, Director May 1, 2016
Port City Operating Company LLC Organization, Rancho Cordova, CA Created for acquisition, LLC, Non-profit 5% Or Greater Direct Ownership Interest May 1, 2016 100%
Kaiser Foundation Hospitals Organization, Oakland, CA Corporation, Non-profit 5% Or Greater Direct Ownership Interest May 1, 2016 20%
Paul L Rains Individual W-2 Managing EmployeePresident of St Josephs Behavior May 1, 2016
Operational/Managerial ControlPresident May 1, 2016
John E Petersdorf Individual Corporate OfficerVice Chair, Director Oct 1, 2022
Corporate DirectorVice Chair, Director May 1, 2016
Operational/Managerial ControlVice Chair, Director Jun 16, 2016

Owners & managing parties with NPI records 2

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
St Josephs Medical Center of StocktonStockton, CA, CCN 050084 Hospital 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2016
St Josephs Medical Center Home HealthStockton, CA, CCN 057212 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2016

Owned or controlled facilities with NPI records 2

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

Facilities with the same owner 128

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

View all 128

Practitioners & affiliated clinicians

Practitioners 4

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": "1754870400000",
    "number": "1053443473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 213008",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952139008",
            "telephone_number": "858-275-8112",
            "fax_number": "779-803-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 N CALIFORNIA ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045502",
            "telephone_number": "858-275-8112",
            "fax_number": "779-803-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT CITY OPERATING COMPANY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PORT CITY OPERATING COMPANY, LLC",
        "enumeration_date": "2007-03-12",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A",
        "authorized_official_last_name": "MORISETTE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "SYSTEM CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "858-275-8112"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "CA",
            "license": "030000367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP30201J",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZA3902Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "721561125952040001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS",
            "identifier": "721561125",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP40201J",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Joseph's Behavioral Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.