Sutter Visiting Nurse Association and Hospice
Organization Active NPI Community Based Hospice Care Agency · Alameda, CA
NPI 1124053558 · NPPES record last updated May 29, 2024
Key facts
- NPI
- 1124053558
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- Legal business name
- SUTTER VISITING NURSE ASSOCIATION AND HOSPICE
- Practice address
- 1025 Atlantic Ave Ste 100a
Alameda, CA 94501-1189 - Phone
- (510) 263-0900
- Fax
- (510) 263-0909
- NPI assigned
- Jul 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Mark K McPherson
- Title
- President (Ceo)
- Phone
- (707) 864-4660
Owners & managing parties with NPI records 5
-
Ursula Boynton, M.D.
-
Albert Chan, MD
-
Paresh Matmari, M.D.
-
David Jay Seidenwurm, M.D.
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 38
Facilities with the same owner 59
Affiliated clinicians 11
-
Kristina Carpenter, D.O.
-
Aaron Goertz, D.O.
-
Raymond S Ha, MD
-
Saman Hayatdavoudi, M.D.
-
Paul T Koenig, M.D.
-
Mandakini Hersh Patel, M.D.
-
Kanwaldeep Kaur Rasila, M.D.
-
Noel Serrano, M.D.
Medicare Care Compare: Hospice
- Listed as
- Sutter Care at Home
- Ownership
- For-Profit
- Certified
- Jun 1, 1989
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Hospice certification: CCN 051555
- Legal name
- SUTTER VISITING NURSE ASSOCIATION AND HOSPICE
- Doing business as
- SUTTER CARE AT HOME
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jun 1, 1989
- Last certification
- Oct 22, 2021
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- May 13, 1908 in CA
- Enrollment address
- 1025 Atlantic Ave
Ste 100a
Alameda, CA 94501-1189
All disclosed owners & managing parties 22
| Name | Role | Since | Share |
|---|---|---|---|
| Keith R Lagnese |
Contracted Managing Employee |
Aug 28, 2023 | |
| Operational/Managerial Control |
Aug 28, 2023 | ||
| Jerold W Louderback |
W-2 Managing Employee |
Jun 5, 2023 | |
| Operational/Managerial Control |
Jun 5, 2023 | ||
| Paresh Matmari |
Contracted Managing Employee |
Dec 7, 2020 | |
| Operational/Managerial Control |
Dec 7, 2020 | ||
| David J Seidenwurm |
Corporate Director | Jan 1, 2019 | |
| Carolyn a Goodall |
W-2 Managing Employee |
Jan 19, 2015 | |
| Operational/Managerial Control |
Jan 19, 2015 | ||
| Mark K McPherson |
Contracted Managing Employee |
Aug 14, 2023 | |
| Corporate Officer |
Aug 14, 2023 | ||
| Corporate Director |
Aug 14, 2023 | ||
| Operational/Managerial Control |
Aug 14, 2023 | ||
| Grace Spencer |
W-2 Managing Employee |
Nov 1, 2021 | |
| Operational/Managerial Control |
Nov 1, 2021 | ||
| George T Block |
Corporate Director | Jul 16, 2018 | |
| Margaret a Taylor |
Corporate Director | Sep 22, 2014 | |
| Ursula Nicole Boynton |
Corporate Director | Jan 1, 2022 | |
| Alden J McDonald |
Corporate Officer | Jan 1, 2023 | |
| Corporate Director | Jul 1, 2017 | ||
| Cameron P Pirouz |
W-2 Managing Employee |
Apr 4, 2022 | |
| Operational/Managerial Control |
Apr 4, 2022 | ||
| Manuel J Jimenez |
Corporate Director | Jan 1, 2020 | |
| Douglas G Wagemann |
Corporate Director | Jan 1, 2023 | |
| Maripaz I Nazareno |
W-2 Managing Employee |
Jun 1, 2022 | |
| Operational/Managerial Control |
Jun 1, 2022 | ||
| Anna J Kiger |
Corporate Officer | Oct 1, 2021 | |
| Corporate Director | Oct 1, 2021 | ||
| Albert S Chan |
Corporate Director | Jan 1, 2020 | |
| Jeffrey T Strawn |
Corporate Officer | Jan 1, 2018 | |
| Corporate Director | Jan 1, 2016 | ||
| Sutter Health |
5% Or Greater Direct Ownership Interest | Oct 2, 2000 | 100% |
| Patrick a Brown |
Contracted Managing Employee |
Apr 1, 2024 | |
| Corporate Officer |
Apr 1, 2024 | ||
| Operational/Managerial Control |
Apr 1, 2024 | ||
| Aaron Ortiz |
Corporate Director | Jul 1, 2017 | |
| Megan L Merz |
Corporate Officer | Jul 13, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070620000663 | CA | Part a Provider - Hospice | 1052228673 |
1 other NPI on this enrollment Practice locations: Concord, CA; Alameda, CA |
National Provider Directory
- Tax ID family
- Sutter Visiting Nurse
Locations
1025 Atlantic Ave
Ste 100A
Alameda, CA 94501
Phone (510) 263-0900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | CA | Yes |
Addresses
Primary practice location
1025 Atlantic Ave Ste 100a
Alameda, CA 94501-1189
Mailing address
5099 Commercial Cir
Ste 208
Concord, CA 94520-1291
Phone (855) 771-0328
Other practice location 1
5099 Commercial Cir Ste 210
Concord, CA 94520-1291
Phone (925) 363-4120
Other names
- Sutter Care at Home
Other providers in Alameda, CA
- Nathan Nakeen Sundar
- Russell William Sunderland Jr.
- Preeti Gill Suppal
- Kaylee Stevie Surrell II
- Sutter Gould Medical Foundation
- Sutter Visiting Nurse Association and Hospice
- Kiara Swanier
- Evan Alexander Swarth
- Melanie Ann Sweeney Griffith I
- Neil Jason Sweet
All providers in Alameda, CA · Community Based Hospice Care Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2024. 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.