Sutter Valley Hospitals
Organization Active NPI Rehabilitation Hospital Unit · Roseville, CA
NPI 1093961682 · NPPES record last updated Dec 6, 2021
Key facts
- NPI
- 1093961682
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Hospital Unit 273Y00000X
- License
- 030000083 (CA)
- Legal business name
- SUTTER VALLEY HOSPITALS
- Practice address
- 1 Medical Plaza Dr
Roseville, CA 95661-3037 - Phone
- (800) 353-3369
- NPI assigned
- Aug 14, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- SUTTER VALLEY HOSPITALS
Authorized official
- Name
- James E. Conforti
- Title
- President/Ceo
- Phone
- (916) 887-7040
Owners & managing parties with NPI records 5
-
Dineen J Greer, MD
-
Hien Le, MD
-
Todd C Smith, M.D.
Owned or controlled facilities with NPI records 7
Other NPIs with the same Medicare PAC ID 14
Related certifications (CCN) 1
Facilities with the same owner 59
Practitioners 5
-
Kaoru Namura, AG-ACNP
-
Kathryn O'Brien, FNP
-
Brenda Anne Wolfson, R.N.
-
Marie Ann Gilham, PA
-
Mary Katherine Raneli, APRN
Affiliated clinicians 12
-
Ikram Al-Doori, MD
-
Ali Banisad, MD
-
Karanjit Singh Basrai, M.D.
-
Swetha Chenna, MD
-
Piper Julie Hughes, M.D.
-
Adora L Matthews, MD
-
Ruheena T Sadi, M.D.
-
Pacito V Yabes, MD
Medicare Care Compare: Inpatient rehabilitation facility
- Listed as
- Sutter Roseville Medical Center
- Ownership
- Non-profit
- Certified
- Jan 1, 2009
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Hospital certification: CCN 05T309
- Legal name
- SUTTER VALLEY HOSPITALS
- Doing business as
- SUTTER REHABILITATION INSTITUTE AT SUTTER ROSEVILLE MEDICAL CENTER
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jan 24, 1935 in CA
- Enrollment address
- 1 Medical Plaza Dr
Roseville, CA 95661-3037 - Hospital subgroups
- General, Rehabilitation unit
All disclosed owners & managing parties 17
| Name | Role | Since | Share |
|---|---|---|---|
| Ann Marszal |
Corporate Director |
Jan 1, 2025 | |
| Rishi a Menon |
Corporate Director |
Jan 1, 2025 | |
| Ronnie Yamanaka |
Corporate Officer |
Jan 4, 2024 | |
| W-2 Managing Employee | Jan 4, 2024 | ||
| John Reynen |
Corporate Director |
Jan 1, 2025 | |
| David Warter |
Corporate Director |
Jan 1, 2025 | |
| Todd C Smith |
Corporate Director |
May 21, 2015 | |
| Daniel Flores |
Corporate Director |
Sep 1, 2018 | |
| Benjamin Duran |
Corporate Director |
Jan 1, 2025 | |
| Susan McCabe |
Corporate Director |
Jul 14, 2025 | |
| Raeleigh Payanes |
Corporate Director |
Jan 1, 2025 | |
| Dineen Johnson Greer |
Corporate Director |
Jan 1, 2025 | |
| Bronwyn Fields |
Corporate Director |
Sep 1, 2018 | |
| Maria G Pallavicini |
Corporate Director |
Aug 3, 2017 | |
| Chrysanthy Demos |
Corporate Director |
Jan 1, 2025 | |
| Jerry Tokunaga |
Corporate Director |
Sep 1, 2018 | |
| Hien Son Le |
Corporate Director |
Jan 1, 2025 | |
| Sutter Health |
5% Or Greater Direct Ownership Interest | Dec 8, 2008 | 100% |
All facility ownership & control disclosures 6
| Facility | Type | Role | Since |
|---|---|---|---|
| Sutter Auburn Faith Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | May 31, 1996 |
| Sutter Solano Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2009 |
| Sutter Amador Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2009 |
| Memorial Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2017 |
| Sutter Surgical Hospital-North Valley |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Apr 12, 2026 |
| Memorial Hospital Los Banos Rural Health Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2017 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090427000314 | CA | Part a Provider - Hospital | 3375531635 | Practice locations: Roseville, CA |
National Provider Directory
- Part of
- Sutter Immediate Care
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital Unit | 273Y00000X | 030000083 | CA | Yes |
Addresses
Primary practice location
1 Medical Plaza Dr
Roseville, CA 95661-3037
Mailing address
PO Box 160100
Sacramento, CA 95816-0100
Phone (800) 353-3369
Other names
- Sutter Rehabilitation Institute at Sutter Roseville Medical Center
Other providers in Roseville, CA
- Sutter Health Sacramento Sierra Region
- Sutter Health Sacramento Sierra Region
- Sutter Health Sacramento Sierra Region
- Sutter Lead Hill Surgery Center, LLC
- Sutter Roseville Medical Center
- Sutter Valley Hospitals
- Sutter Valley Medical Foundation
- Sutter Valley Medical Foundation
- Sutter Valley Medical Foundation
- Sutter Valley Medical Foundation
All providers in Roseville, CA · Rehabilitation Hospital Unit in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.