Organization Active NPI

Silverado Hospice, Inc

Doing business as Silverado Hospice San Diego

  • Community Based Hospice Care Agency
  • San Diego, CA
National Provider Identifier
1386786150
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
550000553 Issued in CA
Legal business name
SILVERADO HOSPICE, INC
Doing business as
Silverado Hospice San Diego
Practice address
5471 Kearny Villa Rd Ste 300
San Diego, CA 92123-1141
Phone
(858) 565-1005
Fax
(858) 565-1063
NPI assigned
Feb 12, 2007
Last updated
Sep 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
Carmin Tomassi
Title
Cfo
Phone
(949) 240-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 550000553 CA Primary

Addresses

Primary practice location

5471 Kearny Villa Rd Ste 300
San Diego, CA 92123-1141

Mailing address

6400 Oak Canyon
200
Irvine, CA 92618-5233
Phone (949) 240-7200

Other names 1

  • Silverado Hospice San Diego Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070426000636 CA Part A Provider - Hospice 9537071204 1 other NPI on this enrollment
Practice locations: San Diego, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386786150. Details of each certification follow.

Hospice certification: CCN 551522

Legal name
SILVERADO HOSPICE, INC.
Doing business as
SILVERADO HOSPICE - SAN DIEGO
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 24, 2007
Last certification
May 18, 2018
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Enrollment address
5471 Kearny Villa Rd
Ste 300
San Diego, CA 92123-1141

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Silverado Hospice San DiegoCCN 551522 · All quality measures
Ownership
For-Profit
Certified
Dec 24, 2007
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Silverado Hospice2 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.

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
Angela D Collins Individual W-2 Managing EmployeeSr. Vice President Operations Jun 9, 2025
Nancy Smith Family Trust Organization, Irvine, CA 5% Or Greater Indirect Ownership Interest Jun 1, 2025 9.29%
Ingrid McDonald Individual W-2 Managing EmployeeDirector Patient Care Services Jan 26, 2026
Loren B Shook Individual 5% Or Greater Indirect Ownership InterestCeo, Chairman Jun 1, 2025 17.53%
Corporate OfficerCeo, Chairman Apr 16, 2007 50%
Corporate DirectorCeo, Chairman Apr 16, 2007 50%
W-2 Managing EmployeeCeo, Chairman Apr 16, 2007 50%
RLH Silverado L.P. Organization, Los Angeles, CA 5% Or Greater Indirect Ownership Interest Jun 1, 2025 47.12%
Catherine Quinn Davis Individual W-2 Managing EmployeeVP Revenue Cycle Management Jul 15, 2019
Heather Kemnetz Individual W-2 Managing EmployeeVP Clinical Operations Feb 23, 2026
Silverado Senior Living Holdings Inc Organization, Irvine, CA Corporation 5% Or Greater Direct Ownership Interest Jan 6, 2011 100%
Richard Riordan Administrative Trust Organization, Irvine, CA 5% Or Greater Indirect Ownership Interest Jun 1, 2025 26.01%
Carmin Tomassi Individual Corporate OfficerSecretary, Cfo Jan 15, 2022
W-2 Managing EmployeeSecretary, Cfo Jan 15, 2022
C Shook Trust Organization, Irvine, CA 5% Or Greater Indirect Ownership Interest Jun 1, 2025 12.58%
Loren S Novak Individual Contracted Managing EmployeeMD; Jan 1, 2007
John C Lewis Individual Corporate DirectorBoard Member Apr 16, 2007 25%
Silverado Shareholders LLC Organization, Irvine, CA LLC 5% Or Greater Indirect Ownership Interest Jun 1, 2025 90.07%
Wayne Sanner Individual Corporate OfficerCeo, Designate Apr 29, 2025
W-2 Managing EmployeeCeo, Designate Apr 29, 2025
Brian Stern Individual Corporate DirectorBoard Member May 23, 2025
Lisa Ann Wappler Individual W-2 Managing EmployeeAd; Dec 1, 2025
Operational/Managerial ControlAdministrator Dec 1, 2025

Owners & managing parties with NPI records 1

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

Facilities with the same owner 7

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

Practitioners & affiliated clinicians

Affiliated clinicians 8

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": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1386786150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 OAK CANYON",
            "address_2": "200",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926185233",
            "telephone_number": "949-240-7200",
            "fax_number": "949-930-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5471 KEARNY VILLA RD STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231141",
            "telephone_number": "858-565-1005",
            "fax_number": "858-565-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVERADO HOSPICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "TOMASSI",
        "authorized_official_first_name": "CARMIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "949-240-7200"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "550000553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silverado Hospice San Diego",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Silverado Hospice San Diego",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.