NPIMap

Organization Active NPI

Department of State Hospitals

Doing business as Department of State Hospitals - Napa

  • Psychiatric Hospital
  • Napa, CA
National Provider Identifier
1326098161
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
DEPARTMENT OF STATE HOSPITALS
Doing business as
Department of State Hospitals - Napa
Practice address
2100 Napa Vallejo Hwy
Napa, CA 94558-6234
Phone
(707) 253-5000
Fax
(707) 253-5513
NPI assigned
May 11, 2006
Last updated
Aug 24, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
DEPARTMENT OF STATE HOSPITALSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Authorized official

Name
George Maynard
Title
Administrative Deputy Director
Phone
(916) 651-3238

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 150000492 CA
Psychiatric Hospital 283Q00000X Primary
Mental Illness Intermediate Care Facility 310500000X 150000492 CA
Skilled Nursing Facility 314000000X 150000492 CA
Pharmacy 333600000X 150000492 CA
Long Term Care Pharmacy 3336L0003X 150000492 CA

Addresses

Primary practice location

2100 Napa Vallejo Hwy
Napa, CA 94558-6234

Mailing address

1215 O Street, Ms-3
Department of State Hospitals - PCRS
Sacramento, CA 95814
Phone (916) 651-8906

Other names 1

  • Department of State Hospitals - Napa Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081031000305 CA Part B Supplier - Clinic/Group Practice 9638174238 Receives reassigned benefits from 751 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Atascadero, CA; Coalinga, CA; Napa, CA; Norwalk, CA; Patton, CA
O20090129000414 CA Part A Provider - Hospital 9638174238 Practice locations: Napa, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1326098161. Details of each certification follow.

Hospital certification: CCN 054122

Legal name
DEPARTMENT OF STATE HOSPITALS
Doing business as
NAPA STATE HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Feb 6, 1991
Last certification
Dec 7, 2023
Beds
1,418 (36 certified)
Ownership / control type
State
Organization structure
OtherNon-profit
Enrollment address
2100 Napa Vallejo Hwy
Napa, CA 94558-6234
Other Hospital Practice Location
Hospital subgroups
Psychiatric unit

Other NPIs with the same Medicare PAC ID 4

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

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Dept of State Hospitals - NapaCCN 054122 · All quality measures
Type
Psychiatric
Ownership
Government - State
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
Dept of State Hospitals5 organizations share this tax ID, including this one
Part of
Dept of State Hospitals

Other organizations with this tax ID 4

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

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Wendy Ly Individual W-2 Managing EmployeeStaff Services Manager L Oct 22, 2018
Glenn Fujii Individual W-2 Managing EmployeeStaff Services Manager I Sep 24, 2014
Stephanie L Clendenin Individual Corporate DirectorChief Deputy Director Jan 7, 2015
Sean Hammer Individual Corporate DirectorDeputy Director Mar 18, 2022
Samantha Auduong Individual W-2 Managing EmployeeDelegated Official Mar 8, 2022
Department of State Hospitals Organization, Napa, CA Operational/Managerial Control Jul 1, 2011
Angela Griffith Individual W-2 Managing EmployeeStaff Services Manager III May 1, 2015

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 3

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

FacilityTypeRoleSince
Patton State HospitalPatton, CA, CCN 05124E Hospital Operational/Managerial Control Oct 1, 1982
Metropolitan State HospitalNorwalk, CA, CCN 054133 Hospital Operational/Managerial Control (100%) Jul 1, 2011
Atascadero State HospitalAtascadero, CA, CCN 05125E Hospital Operational/Managerial Control Oct 1, 1982

Owned or controlled facilities with NPI records 3

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

Facilities with the same owner 3

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

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 186

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 186

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1326098161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 O STREET, MS-3",
            "address_2": "DEPARTMENT OF STATE HOSPITALS - PCRS",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95814",
            "telephone_number": "916-651-8906",
            "fax_number": "916-651-8908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 NAPA VALLEJO HWY",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586234",
            "telephone_number": "707-253-5000",
            "fax_number": "707-253-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF STATE HOSPITALS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEPARTMENT OF STATE HOSPITALS",
        "enumeration_date": "2006-05-11",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "MAYNARD",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "ADMINISTRATIVE DEPUTY DIRECTOR",
        "authorized_official_telephone_number": "916-651-3238"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "150000492",
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "CA",
            "license": "150000492",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "150000492",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "150000492",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "150000492",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Department of State Hospitals - Napa",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Department of State Hospitals - Napa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.