NPIMap

Organization Active NPI

Sutter Valley Hospitals

Doing business as Sutter Roseville Medical Center

  • General Acute Care Hospital
  • Roseville, CA
National Provider Identifier
1356390264
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
030000083 Issued in CA
Legal business name
SUTTER VALLEY HOSPITALS
Doing business as
Sutter Roseville Medical Center
Practice address
1 Medical Plaza Dr
Roseville, CA 95661-3037
Phone
(800) 353-3369
NPI assigned
May 8, 2006
Last updated
Dec 6, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
SUTTER VALLEY HOSPITALSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Authorized official

Name
James E. Conforti
Title
President/Ceo
Phone
(916) 887-7040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 030000083 CA Primary

Addresses

Primary practice location

1 Medical Plaza Dr
Roseville, CA 95661-3037

Mailing address

PO Box 160100
Sacramento, CA 95816-0100
Phone (800) 353-3369

Other identifiers 3

IdentifierTypeStateIssuer
ZZR00309GMedicaidCA
HSP40309GMedicaidCA
HSC00309GMedicaidCA

Other names 1

  • Sutter Roseville Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071226000261 CA Part A Provider - Hospital 3375531635 Practice locations: Roseville, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356390264. Details of each certification follow.

Hospital certification: CCN 050309

Legal name
SUTTER VALLEY HOSPITALS
Doing business as
SUTTER ROSEVILLE MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
May 9, 2025
Beds
328
Ownership / control type
Private (not for profit)
Most recent change of ownership
May 31, 1996 (2 total)
Organization structure
CorporationNon-profit
Incorporated
Jan 24, 1935 in CA
Enrollment address
1 Medical Plaza Dr
Roseville, CA 95661-3037
Other Hospital Practice Location
Hospital subgroups
General, Acute care

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

Other NPIs with the same Medicare PAC ID 14

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

View all 14

Care Compare: Hospital

Medicare Care Compare
Listed as
Sutter Roseville Medical CenterCCN 050309 · All quality measures
Overall star rating
5 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Part of
Sutter Memorial Hospital

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
Ann Marszal Individual Corporate DirectorBoard Member Jan 1, 2025
Rishi a Menon Individual Corporate DirectorBoard Member Jan 1, 2025
Ronnie Yamanaka Individual Corporate OfficerCfo Jan 4, 2024
W-2 Managing Employee Jan 4, 2024
John Reynen Individual Corporate DirectorBoard Member Jan 1, 2025
David Warter Individual Corporate DirectorBoard Member Jan 1, 2025
Todd C Smith Individual Corporate DirectorBoard Member May 21, 2015
Daniel Flores Individual Corporate DirectorBoard Member Sep 1, 2018
Benjamin Duran Individual Corporate DirectorBoard Member Jan 1, 2025
Susan McCabe Individual Corporate DirectorSenior Director Jul 14, 2025
Raeleigh Payanes Individual Corporate DirectorBoard Member Jan 1, 2025
Dineen Johnson Greer Individual Corporate DirectorBoard Member Jan 1, 2025
Bronwyn Fields Individual Corporate DirectorBoard Member Sep 1, 2018
Maria G Pallavicini Individual Corporate DirectorBoard Member Aug 3, 2017
Chrysanthy Demos Individual Corporate DirectorBoard Member Jan 1, 2025
Jerry Tokunaga Individual Corporate DirectorBoard Member Sep 1, 2018
Hien Son Le Individual Corporate DirectorBoard Member Jan 1, 2025
Sutter Health Organization, Sacramento, CA Non-profit 5% Or Greater Direct Ownership Interest Nov 27, 2007 100%

Owners & managing parties with NPI records 5

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

All facility ownership & control disclosures 6

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

FacilityTypeRoleSince
Sutter Auburn Faith HospitalAuburn, CA, CCN 050498 Hospital 5% Or Greater Direct Ownership Interest (100%) May 31, 1996
Sutter Solano Medical CenterVallejo, CA, CCN 050101 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2009
Sutter Amador HospitalJackson, CA, CCN 050014 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2009
Memorial Medical CenterModesto, CA, CCN 050557 Hospital 5% Or Greater Direct Ownership Interest (100%) May 1, 2017
Sutter Surgical Hospital-North ValleyYuba City, CA, CCN 050766 Hospital 5% Or Greater Direct Ownership Interest (100%) Apr 12, 2026
Memorial Hospital Los Banos Rural Health ClinicLos Banos, CA, CCN 553998 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) May 1, 2017

Owned or controlled facilities with NPI records 7

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

Facilities with the same owner 59

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

View all 59

Practitioners & affiliated clinicians

Practitioners 44

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 44

Affiliated clinicians 1,474

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

View all 1,474

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1356390264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958160100",
            "telephone_number": "800-353-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PLAZA DR",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613037",
            "telephone_number": "800-353-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTER VALLEY HOSPITALS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUTTER VALLEY HOSPITALS",
        "enumeration_date": "2006-05-08",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "CONFORTI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "916-887-7040"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "030000083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR00309G",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP40309G",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSC00309G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sutter Roseville Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sutter Roseville Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.