NPIMap

Organization Active NPI

Sonoma Valley Health Care District

Doing business as Sonoma Valley Hospital SNF

  • Skilled Nursing Facility
  • Sonoma, CA
National Provider Identifier
1407938574
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SONOMA VALLEY HEALTH CARE DISTRICT
Doing business as
Sonoma Valley Hospital SNF
Practice address
347 Andrieux St
Sonoma, CA 95476-6811
Phone
(707) 935-5000
NPI assigned
Oct 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robert Kowal
Title
President & Ceo
Phone
(707) 935-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X CA Primary

Addresses

Primary practice location

347 Andrieux St
Sonoma, CA 95476-6811

Mailing address

347 Andrieux St
Sonoma, CA 95476-6811
Phone (707) 935-5000

Other identifiers 1

IdentifierTypeStateIssuer
LTC55258FMedicaidCA

Other names 1

  • SONOMA VALLEY HOSPITAL SNF Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030514000086 CA Part A Provider - Skilled Nursing Facility 2062322621 Practice locations: Sonoma, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407938574. Details of each certification follow.

Skilled nursing facility certification: CCN 555258

Legal name
SONOMA VALLEY HEALTH CARE DISTRICT
Doing business as
SONOMA VALLEY HOSPITAL
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 19, 1986
Last certification
Oct 11, 2024
Beds
27
Ownership / control type
Individual
Multi-facility organization
Bouverie Healthcare Services, Inc
Organization structure
OtherNon-profit
Enrollment address
347 Andrieux St
Sonoma, CA 95476-6811
Nursing home name
VALLEY OF THE MOON POST ACUTE

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Valley of the Moon Post AcuteCCN 555258 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Dec 19, 1986
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
2726.0 residents per day on average
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
1Fines totaling $13,065

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Sonoma Valley HSP Fam Pract3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

347 Andrieux St
#600
Sonoma, CA 95476

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Sonoma Valley Health Care District Organization, Sonoma, CA Operational/Managerial Control Dec 19, 1986
Fe Sendaydiego Individual Operational/Managerial Control Dec 26, 2000
Kelly Mather Individual Corporate OfficerPresident & Ceo Jul 1, 2010

Owners & managing parties with NPI records 2

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
Sonoma Valley HospitalSonoma, CA, CCN 050090 Hospital Operational/Managerial Control Jul 1, 1966

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 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407938574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 ANDRIEUX ST",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954766811",
            "telephone_number": "707-935-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 ANDRIEUX ST",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954766811",
            "telephone_number": "707-935-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONOMA VALLEY HEALTH CARE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOWAL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "707-935-5000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55258F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SONOMA VALLEY HOSPITAL SNF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sonoma, CA

Sources for this page

Verify at the official NPI Registry.