NPIMap

Organization Active NPI

Saddleback Memorial Medical Center

  • General Acute Care Hospital
  • Laguna Hills, CA
National Provider Identifier
1275576381
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
060000166 Issued in CA
Legal business name
SADDLEBACK MEMORIAL MEDICAL CENTER
Practice address
24451 Health Center Dr
Laguna Hills, CA 92653
Phone
(949) 837-4500
Fax
(949) 452-3460
NPI assigned
Jun 14, 2006
Last updated
Apr 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Authorized official

Name
Chris Finch
Title
Chief Compliance Officer
Phone
(714) 377-3218

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 060000166 CA Primary

Addresses

Primary practice location

24451 Health Center Dr
Laguna Hills, CA 92653

Mailing address

24451 Health Center Dr
Laguna Hills, CA 92653-3689
Phone (949) 837-4500

Other identifiers 1

IdentifierTypeStateIssuer
ZZT30603FMedicaidCA

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://52.70.132.174:8191/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other Medforce Technologies, Inc
CONNECT URL https://172.254.9.13:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Bluemark

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050125000520 CA Part A Provider - Hospital 1759362585 Practice locations: Laguna Hills, CA; Rancho Mission Viejo, CA; Mission Viejo, CA; Irvine, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275576381. Details of each certification follow.

Hospital certification: CCN 050603

Legal name
SADDLEBACK MEMORIAL MEDICAL CENTER
Doing business as
MEMORIALCARE SADDLEBACK MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jan 27, 1974
Last certification
Mar 23, 1984
Beds
325
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
May 22, 1969 in CA
Enrollment address
24451 Health Center Dr
Laguna Hills, CA 92653-3689
Main/Primary Hospital Location
Hospital subgroups
Acute care

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: Hospital

Medicare Care Compare
Listed as
Memorialcare Saddleback Medical CenterCCN 050603 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Saddleback Memorial Medical CenterCCN 05T603
Ownership
Non-profit
Certified
Mar 17, 2005

This is a unit of this hospital with its own CMS Certification Number. Care Compare reports it separately, and it has no NPI of its own. How units are connected

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
05D0578029Memorialcare Saddleback24451 Health Center Dr, Laguna Hills, CA 92653AccreditationMar 16, 2027

National Provider Directory

National Provider Directory
Tax ID family
Saddleback Mem Med Ctrphcy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

24401 Health Center Dr
Laguna Hills, CA 92653

29100 Portola Pkwy
Lake Forest, CA 92630
Phone (844) 254-6382

26137 La Paz Rd
Ste 130
Mission Viejo, CA 92691

2010 E 1st St
Ste 140
Santa Ana, CA 92705
Phone (714) 543-6020

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Theresa Evans Individual Corporate DirectorBoard Member Jul 1, 2016
Dale Vital Individual Corporate DirectorBoard Member Jul 1, 2021
Catherine Y Han Individual Corporate DirectorBoard Member Jul 1, 2019
Thomas Rogers Individual Corporate DirectorBoard Member Jul 1, 2016
Thomas Feldmar Individual Corporate DirectorBoard Member Jul 1, 2018
Tam Nguyen Individual Corporate DirectorBoard Member Jul 1, 2022
David Wolf Individual Corporate DirectorBoard Member Jul 1, 2019
Sharon Cheever Individual Corporate DirectorBoard Member Jul 1, 2016
Memorial Health Services Organization, Fountain Valley, CA Corporation 5% Or Greater Direct Ownership Interest May 22, 1969
Julio a Ibarra Individual Corporate DirectorBoard Member Jul 1, 2016
Lalita M Komanapalli Individual Corporate DirectorBoard Member Jul 1, 2018
Frank J Marino Individual Corporate DirectorBoard Member Jul 1, 2022
Shela Kaneshiro Individual Corporate OfficerChief Executive Officer May 1, 2025
Barry Arbuckle Individual Corporate DirectorBoard Member Dec 30, 2004
Michael D Moneta Individual Corporate DirectorBoard Member Jul 1, 2021
Chris Finch Individual Corporate OfficerChief Compliance Officer Dec 15, 2009
W-2 Managing EmployeeChief Compliance Officer Dec 15, 2009
Aaron Coley Individual Corporate OfficerChief Financial Officer Aug 1, 2016
W-2 Managing EmployeeChief Financial Officer Aug 1, 2016

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Memorial Care Hospice and Palliative ServicesLaguna Hills, CA, CCN 051595 Hospice 5% Or Greater Direct Ownership Interest (100%) Jan 7, 2010

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

Affiliated clinicians 733

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

View all 733

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1275576381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24451 HEALTH CENTER DR",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533689",
            "telephone_number": "949-837-4500",
            "fax_number": "949-452-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24451 HEALTH CENTER DR",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "92653",
            "telephone_number": "949-837-4500",
            "fax_number": "949-452-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SADDLEBACK MEMORIAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "FINCH",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "714-377-3218"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "060000166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT30603F",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://52.70.132.174:8191/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2003.1",
            "affiliationName": "Medforce Technologies, Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2348 SW Topeka Blvd",
            "city": "Topeka",
            "state": "KS",
            "country_code": "US",
            "postal_code": "666111283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://172.254.9.13:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.1",
            "affiliationName": "Bluemark",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "40 Sunset Ridge Rd Ste 120",
            "city": "New Paltz",
            "state": "NY",
            "country_code": "US",
            "postal_code": "125611039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.