NPIMap

Organization Active NPI

Los Robles Regional Medical Center

  • Rehabilitation Hospital Unit
  • Thousand Oaks, CA
National Provider Identifier
1124072103
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
LOS ROBLES REGIONAL MEDICAL CENTER
Practice address
215 W Janss Rd
Thousand Oaks, CA 91360-1847
Phone
(805) 497-2727
Fax
(805) 370-4666
NPI assigned
May 22, 2006
Organization subpart
Yes
Parent organization
LOS ROBLES MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Authorized official

Name
Debbie Herwaldt
Title
Cfo
Phone
(805) 370-4421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X Primary

Addresses

Primary practice location

215 W Janss Rd
Thousand Oaks, CA 91360-1847

Mailing address

215 W Janss Rd
Thousand Oaks, CA 91360-1847
Phone (805) 497-2727

Other names 1

  • LOS ROBLES HOSPITAL & MEDICAL CENTER Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060915000180 CA Part A Provider - Hospital 2466447784 Practice locations: Westlake Village, CA

Hospital certification: CCN 05T549

Legal name
LOS ROBLES REGIONAL MEDICAL CENTER
Doing business as
LOS ROBLES HOSPITAL AND MEDICAL CENTER - IRF
Organization structure
CorporationProprietary
Incorporated
Nov 12, 1964 in CA
Enrollment address
150 Via Merida
Westlake Village, CA 91362-3816
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Los Robles Hospital Medical CenterCCN 05T549
Ownership
For profit
Certified
Jan 1, 1999

National Provider Directory

National Provider Directory
Tax ID family
Los Robles Hosp-Bus Off5 organizations share this tax ID, including this one
Part of
Los Robles Hosp-Bus Off

Other organizations with this tax ID 4

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

Member organizations 2

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

Locations

2190 Lynn Rd
Ste 320
Thousand Oaks, CA 91360
Phone (805) 279-8040

Ownership & related parties

All disclosed owners & managing parties 37

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

NameRoleSinceShare
Michael McAlevey Individual Corporate OfficerSVP Jan 1, 2024
HCA Squared LLC Organization, Nashville, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Jul 17, 2018 100%
Jaime L Derensis Individual Corporate Officer Nov 4, 2020
HCA Inc Organization, Nashville, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jul 17, 2018 100%
John M Franck Individual Corporate Officer Oct 21, 2011
Corporate Director Oct 21, 2011
Douglas L Downey Individual Corporate Officer Apr 7, 2014
Eric D Smith Individual Contracted Managing EmployeeVP of Reimbursement Mar 1, 2021
HCA Healthcare Inc Organization, Nashville, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jul 17, 2018 100%
Henry Todd Maxwell Individual Corporate OfficerVP Jan 1, 2024
Frisco Holding II Organization, Wilmington, DE For-profit 5% Or Greater Indirect Ownership Interest Feb 6, 2026 16.3%
Frederick Ashworth Individual Corporate OfficerVP Jan 1, 2024
Christopher F Wyatt Individual Corporate Officer Apr 18, 2016
Corporate Director Apr 18, 2016
John I Starling Individual Corporate Officer Oct 7, 2019
Shirley E Scharf-Cheatham Individual Corporate Officer Oct 21, 2011
Joseph a Sowell Individual Corporate Officer Oct 21, 2011
John M Hackett Individual Corporate Officer Apr 18, 2016
Hercules Holding II Organization, Nashville, TN Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 17, 2018 14.4%
Samuel N Hazen Individual Corporate Officer Oct 21, 2011
Corporate Director Oct 21, 2011
Tim Myers Individual Corporate OfficerCfo Sep 30, 2024
W-2 Managing EmployeeCfo Sep 30, 2024
Ronald Lee Grubbs Individual Corporate Officer Oct 21, 2011
Monica Cintado Individual Corporate Officer Oct 7, 2019
Jon Foster Individual Corporate OfficerSVP Jan 1, 2024
Healthtrust Inc - the Hospital Company Organization, Nashville, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jul 17, 2018 100%
Jacqueline R Van Blaricum Individual Corporate OfficerSVP Jan 1, 2024
Hospital Corp LLC Organization, Nashville, TN LLC, For-profit 5% Or Greater Direct Ownership Interest Jul 17, 2018 100%
Seth a Killingbeck Individual Corporate Officer Aug 10, 2012
Timothy Scott Noonan Individual Corporate Officer Apr 5, 2013
Natalie H Cline Individual Corporate Officer Apr 5, 2013
Michael T Bray Individual Corporate Officer Oct 21, 2011
Peter J Rossell Individual Corporate OfficerVP Jan 1, 2024
Timothy M McManus Individual Corporate OfficerSVP Jan 1, 2024
Brad Ej Spicer Individual Corporate OfficerVP Jan 1, 2024
Kevin a Ball Individual Corporate Officer Apr 7, 2014
Jeffery McInturff Individual Corporate OfficerVP Jan 1, 2024
Phillip Buttell Individual Corporate OfficerCeo Apr 1, 2024
W-2 Managing EmployeeCeo Apr 1, 2024
Deborah H Mullin Individual Corporate Officer Oct 21, 2011
Russell Young Individual Corporate OfficerVP Jan 1, 2024

Facilities with the same owner 144

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

View all 144

Practitioners & affiliated clinicians

Affiliated clinicians 4

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

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762300800000",
    "number": "1124072103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W JANSS RD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601847",
            "telephone_number": "805-497-2727",
            "fax_number": "805-370-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W JANSS RD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601847",
            "telephone_number": "805-497-2727",
            "fax_number": "805-370-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ROBLES REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOS ROBLES MEDICAL CENTER",
        "enumeration_date": "2006-05-22",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A",
        "authorized_official_last_name": "HERWALDT",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "805-370-4421"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "LOS ROBLES HOSPITAL & MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.