Active NPI
Dignity Health
Doing business as Marian Extended Care
- Skilled Nursing Facility
- Santa Maria, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 050000040
- Legal business name
- DIGNITY HEALTH
- Doing business as
- Marian Extended Care
- Practice address
- 1530 Cypress Way
Santa Maria, CA 93454-5900 - Phone
- (805) 739-3650
- Fax
- (805) 922-9067
- NPI assigned
- Mar 1, 2007
- Last updated
- Feb 23, 2017
- Organization subpart
- Yes
- Parent organization
- DIGNITY HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sue Andersen
- Title
- Chief Financial Officer
- Phone
- (805) 739-3110
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 050000040 | CA | Primary |
Addresses
Primary practice location
1530 Cypress Way
Santa Maria, CA 93454-5900
Mailing address
1530 Cypress Way
Santa Maria, CA 93454-5900
Phone (805) 739-3650
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZA4203Z | Other | BLUE SHIELD OF CA | |
| 651190935934540006 | Other | CA | WPS TRICARE |
| LTC55236H | Medicaid | CA | |
| 651190935 | Other | CA | IRS |
| 1245100 | Other | CA | AETNA |
Other names 1
- Marian Extended Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120627000277 | CA | Part A Provider - Skilled Nursing Facility | 2062320559 | Practice locations: Santa Maria, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1144358953. Details of each certification follow.
Skilled nursing facility certification: CCN 555236
- Legal name
- DIGNITY HEALTH
- Doing business as
- MARIAN REGIONAL MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 15, 1986
- Last certification
- Apr 8, 2025
- Beds
- 95
- Ownership / control type
- Church Related
- Multi-facility organization
- Common Spirit
- Organization structure
- Corporation
- Incorporated
- Oct 11, 1954 in CA
- Enrollment address
- 1530 Cypress Way
Santa Maria, CA 93454-5900 - Nursing home name
- MARIAN REGIONAL MEDICAL CENTER D/P SNF
- Affiliated entity
- COMMONSPIRIT HEALTH
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Marian Regional Medical Center D/P SNF
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Church related
- Certified
- Sep 15, 1986
- Medicare certification status
- Active
- Certified beds
- 95
- Chain
- Commonspirit Health
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0643516 | Marian Extended Care Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Mercy Medical Ctr
- Part of
- Mercy Medical Ctr
Organizations with this tax ID in the same state 20
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba St Elizabeth Comm Hosp
- Institutional Pharmacy
- Red Bluff, CA
- NPI 1265472914
-
dba St. Bernardine Medical Center
- Health Service Clinic/Center
- Rialto, CA
- NPI 1194976563
-
dba St. John's Regional Medical Center
- General Acute Care Hospital
- Oxnard, CA
- NPI 1073665360
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1124044680
-
dba St. Elizabeth Community Hospital Oncology Center
- Multi-Specialty Clinic/Center
- Red Bluff, CA
- NPI 1134687734
-
dba Mercy Family Health Center
- Community Health Clinic/Center
- Redding, CA
- NPI 1164851192
-
dba St. Mary Medical Center VNA Hospice
- Community Based Hospice Care Agency
- Long Beach, CA
- NPI 1215052642
Locations
1530 Cypress Way
Santa Maria, CA 93454
Phone (805) 739-3650
Ownership & related parties
All disclosed owners & managing parties 9
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Marvin O'Quinn | Corporate Officer | Feb 1, 2019 | |
| Corporate Director | Jan 27, 2021 | ||
| Commonspirit Health | 5% Or Greater Indirect Ownership Interest | Feb 1, 2019 | 100% |
| Scott Carswell | Corporate Director | Jan 27, 2021 | |
| Dignity Health | 5% Or Greater Direct Ownership Interest | Dec 31, 2001 | 100% |
| Daniel Morissette | Corporate Officer | Feb 1, 2019 | |
| Mitch Melfi | Corporate Officer | Jan 27, 2021 | |
| Corporate Director | Jan 27, 2021 | ||
| Elizabeth Shih | Corporate Officer | Feb 1, 2019 | |
| Corporate Director | Jan 27, 2021 | ||
| Steven W Scharmann | Corporate Officer | Nov 14, 2022 | |
| W-2 Managing Employee | Feb 1, 2019 | ||
| John E Petersdorf | Corporate Officer | Nov 14, 2022 | |
| W-2 Managing Employee | Feb 1, 2019 |
All facility ownership & control disclosures 86
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Arizona Spine and Joint Hospital LLC | Hospital | 5% Or Greater Indirect Ownership Interest | Jul 1, 2015 |
| St. Rose Dominican Hospital-Rose de Lima Campus | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jun 30, 1988 |
| St. Rose Dominican Hospital - Siena Campus | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jul 18, 2000 |
| Mercy Hospital - Bakersfield | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 31, 2001 |
| Arizona Specialty Hospital | Hospital | 5% Or Greater Indirect Ownership Interest (35%) | Feb 1, 2003 |
| Yavapai Regional Medical Center | Hospital | Other | Feb 1, 2019 |
| Bakersfield Memorial Hospital | Hospital | Other | Feb 1, 2019 |
| St Rose Dominican Hospitals - San Martin Campus | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Nov 6, 2006 Feb 1, 2019 |
| Mercy Hospital of Folsom | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 12, 1986 |
| Mercy San Juan Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 12, 1986 |
| Mercy General Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Sep 28, 2007 Sep 28, 2007 |
| Phoenix Children's Hospital | Hospital | 5% Or Greater Direct Ownership Interest (20%) | Mar 25, 2011 |
| Mercy Medical Center Mt Shasta | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 12, 1986 |
| Mercy Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | May 30, 1996 |
| St Bernardine Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | May 21, 2007 |
| St. Joseph's Hospital and Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Apr 5, 2007 |
| St Joseph's Hospital and Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 12, 1986 |
| St. John's Hospital Camarillo | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jul 23, 2007 |
| St Johns Regional Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 12, 1986 |
| Dominican Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Nov 2, 2007 Nov 2, 2007 |
| Dominican Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Nov 2, 2007 |
| Sierra Nevada Memorial Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Feb 20, 1996 |
| Mercy Medical Center Redding | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Nov 23, 2007 Nov 23, 2007 |
| UCSF Health Community Hospitals | Hospital | Operational/Managerial Control | Feb 1, 2019 |
| Marian Regional Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Dec 17, 2007 Dec 17, 2007 |
| St. Elizabeth Community Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Mar 1, 1995 Feb 1, 2019 |
| St. Elizabeth Community Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Mar 19, 2008 Mar 19, 2008 |
| Mercy Gilbert Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jun 5, 2006 Feb 1, 2019 |
| Mark Twain Medical Center | Hospital | Other | Jun 1, 2000 |
| Mercy General Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 12, 1986 |
| Community Hospital of San Bernardino | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Aug 13, 1998 |
| St Mary Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
May 30, 1996 May 30, 1996 |
| San Bernardino Community Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Aug 13, 1998 |
| Mercy Medical Center Mt Shasta Swing | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Dec 12, 1986 Feb 1, 2019 |
| St. Mary Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 31, 2001 |
| Marian Regional Medical Center, Arroyo Grande | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Dec 17, 2007 Dec 17, 2007 |
| Dignity Health Arizona General Hospital | Hospital | Other | Feb 1, 2019 |
| St Josephs Behavioral Health Center | Hospital | 5% Or Greater Direct Ownership Interest (80%) Operational/Managerial Control (80%) |
May 1, 2016 May 1, 2016 |
| St Josephs Medical Center of Stockton | Hospital | 5% Or Greater Indirect Ownership Interest (80%) | Jun 1, 2016 |
| Dignity Health East Valley Rehabilitation Hospital | Hospital | 5% Or Greater Direct Ownership Interest (40%) | Apr 29, 2015 |
| Dignity Health Arizona General Hospital | Hospital | Other | Feb 1, 2019 |
| Dignity Health St Rose Dominican North Las Vegas Campus | Hospital | 5% Or Greater Indirect Ownership Interest (51%) | May 5, 2016 |
| Mark Twain Medical Center | Hospital | Operational/Managerial Control Other |
Feb 1, 2019 Feb 1, 2019 |
| Woodland Memorial Hospital | Hospital | Other | Feb 1, 2019 |
| French Hospital Medical Center | Hospital | Other | Feb 1, 2019 |
| Glendale Memorial Hospital and Health Center | Hospital | Other | Feb 1, 2019 |
| Glendale Memorial Hospital and Health Center | Hospital | Other | Feb 1, 2019 |
| Glendale Memorial Hospital and Health Center | Hospital | Operational/Managerial Control (100%) | Feb 1, 2019 |
| Chandler Regional Medical Center | Hospital | Other | Feb 1, 2019 |
| Sequoia Hospital | Hospital | Other | Feb 1, 2019 |
| Northridge Hospital Medical Center | Hospital | Other | Feb 1, 2019 |
| Northridge Hospital Medical Center | Hospital | Other | Feb 1, 2019 |
| California Hospital Medical Center | Hospital | Operational/Managerial Control (50%) | Feb 1, 2019 |
| Methodist Hospital of Sacramento | Hospital | Other | Feb 1, 2019 |
| Woodland Memorial Hospital | Hospital | Other | Feb 1, 2019 |
| Dignity Health Rehabilitation Hospital | Hospital | 5% Or Greater Direct Ownership Interest (49%) | Apr 23, 2019 |
| Dignity Health East Valley Rehabilitation Hospital-Gilbert | Hospital | 5% Or Greater Direct Ownership Interest (40%) | Dec 6, 2022 |
| St. John¿S Hospital Camarillo DP/SNF | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 19, 1993 |
| Community Hospital of San Bernardino | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Aug 13, 1998 |
| Community Convalescent Center of San Bernardino | Skilled nursing facility | Other | Feb 1, 2019 |
| Methodist Hospital of Sacramento - Bruceville Terrace | Skilled nursing facility | Other | Feb 1, 2019 |
| Mercy Home Health | Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2012 |
| Mercy Home Care | Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2001 |
| Dignity Health Home Health | Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2001 |
| Mercy Memorial Home Health | Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Mar 24, 2008 |
| Mercy Home Care | Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Jan 17, 2012 |
| St. Elizabeth Community Hospital HHA | Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 1995 |
| St Josephs Medical Center Home Health | Home health agency | 5% Or Greater Indirect Ownership Interest (80%) | Jun 1, 2016 |
| Dignity Health at Home, LLC | Home health agency | 5% Or Greater Direct Ownership Interest (50%) | Oct 29, 2018 |
| Woodland Healthcare Home Health | Home health agency | Other | Feb 1, 2019 |
| Mercy Hospice | Hospice | 5% Or Greater Direct Ownership Interest (100%) | Jan 18, 2008 |
| Dignity Health Hospice | Hospice | 5% Or Greater Direct Ownership Interest (100%) | Mar 17, 2008 |
| Mercy Hospice - Mt. Shasta | Hospice | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2000 |
| Mercy Hospice | Hospice | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 1995 |
| Family Care Clinic | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
May 30, 1996 Jun 12, 2007 |
| Family Medical Center - San Andreas | Rural health clinic | Other | Jun 1, 2000 |
| Mercy Medical Center Mt Shasta | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jan 31, 2010 Feb 1, 2019 |
| James Dalton Medical Office | Rural health clinic | Other | Jun 1, 2000 |
| Family Medical Center - Arnold | Rural health clinic | Other | Jun 1, 2000 |
| Family Medical Center-Copperopolis | Rural health clinic | Other | Jun 1, 2000 |
| Mercy Medical Center Mt Shasta | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Dec 12, 1986 Feb 1, 2019 |
| Mercy Medical Center Mt. Shasta | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Dec 31, 2001 Feb 1, 2019 |
| Dignity Health Solano Street Medical Clinic | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Dec 31, 2001 Dec 31, 2001 |
| Dignity Health Lassen Medical Clinic - Cottonwood | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Dec 31, 2001 Dec 31, 2001 |
| Dignity Health Lassen Medical Clinic - Red Bluff | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Dec 31, 2001 Dec 31, 2001 |
| Dignity Health Women's Health Services | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Dec 31, 2001 Apr 23, 2017 |
Facilities with the same owner 52
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- General Acute Care Hospital
- San Bernardino, CA
- NPI 1235290818
Dignity Health
-
dba California Hospital Medical Center - Los Angeles
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1114081056
Dignity Health
-
dba Glendale Memorial Hospital and Health Center
- General Acute Care Hospital
- Glendale, CA
- NPI 1477610640
Dignity Health
-
dba St. John's Regional Medical Center
- General Acute Care Hospital
- Oxnard, CA
- NPI 1073665360
Dignity Health
-
dba St. Elizabeth Community Hospital
- General Acute Care Hospital
- Red Bluff, CA
- NPI 1083732853
Dignity Health
-
dba Mercy Hospital
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1104981661
Dignity Health
-
dba St. Mary Medical Center
- General Acute Care Hospital
- Long Beach, CA
- NPI 1194840421
Dignity Health
-
dba Dignity Health Home Health
- Home Health Agency
- Santa Maria, CA
- NPI 1225184963
Dignity Health
-
dba Dignity Health Lassen Medical Clinic-Cottonwood
- Rural Health Clinic/Center
- Cottonwood, CA
- NPI 1235672403
Dignity Health
-
dba Mercy Lake Shastina Community Clinic
- Rural Health Clinic/Center
- Weed, CA
- NPI 1255609699
Dignity Health
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Pismo Beach, CA
- NPI 1346450970
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487808000000",
"number": "1144358953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1530 CYPRESS WAY",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934545900",
"telephone_number": "805-739-3650",
"fax_number": "805-922-9067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 CYPRESS WAY",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934545900",
"telephone_number": "805-739-3650",
"fax_number": "805-922-9067"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIGNITY HEALTH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DIGNITY HEALTH",
"enumeration_date": "2007-03-01",
"last_updated": "2017-02-23",
"status": "A",
"authorized_official_last_name": "ANDERSEN",
"authorized_official_first_name": "SUE",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "805-739-3110"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": "050000040",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CA",
"identifier": "ZZZA4203Z",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WPS TRICARE",
"identifier": "651190935934540006",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LTC55236H",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IRS",
"identifier": "651190935",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1245100",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Marian Extended Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.