Dignity Health

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

Legal business name

DIGNITY HEALTH

Practice address

124 S College Dr Ste C
Santa Maria, CA 93454-5325

Phone

(805) 739-3810

Fax

(805) 739-3851

NPI assigned

Jan 29, 2007

Last updated

Oct 28, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathleen Sullivan, PHD

Title

VP Post Acute Care Services

Phone

(805) 739-3830

Specialties & licenses 4

Addresses

Other names 1

• Dignity Health Home Infusion Services Other name

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Mercy Medical Ctr74 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Catholic Healthcare West

  dba St Elizabeth Comm Hosp

  • Institutional Pharmacy
  • Red Bluff, CA
  • NPI 1265472914
  NPD tax ID
• Dignity Health

  dba St. Mary Medical Center VNA Hospice

  • Community Based Hospice Care Agency
  • Long Beach, CA
  • NPI 1215052642
  NPD tax ID
• Dignity Health

  dba Dignity Health Home Health

  • Home Health Agency
  • Santa Maria, CA
  • NPI 1225184963
  NPD tax ID
• Dignity Health

  dba Mercy Home Care

  • Home Health Agency
  • Merced, CA
  • NPI 1235289117
  NPD tax ID
• Dignity Health

  dba Dignity Health Lassen Medical Clinic-Cottonwood

  • Rural Health Clinic/Center
  • Cottonwood, CA
  • NPI 1235672403
  NPD tax ID
• Dignity Health

  dba Mercy Lake Shastina Community Clinic

  • Rural Health Clinic/Center
  • Weed, CA
  • NPI 1255609699
  NPD tax ID
• Dignity Health

  dba Mercy Hospital of Folsom

  • General Acute Care Hospital
  • Folsom, CA
  • NPI 1356389878
  NPD tax ID
• Dignity Health

  dba Lassen Medical Clinic Ancillary Services

  • Radiology Clinic/Center
  • Red Bluff, CA
  • NPI 1407348147
  NPD tax ID
• Dignity Health

  dba Dignity Health Lassen Medical Clinic-Red Bluff

  • Rural Health Clinic/Center
  • Red Bluff, CA
  • NPI 1407399678
  NPD tax ID
• Dignity Health

  dba Mercy Hospice

  • Community Based Hospice Care Agency
  • Rancho Cordova, CA
  • NPI 1417997925
  NPD tax ID
• Dignity Health

  dba Mercy Home Health

  • Home Health Agency
  • Rancho Cordova, CA
  • NPI 1437196813
  NPD tax ID
• Dignity Health

  dba California Hospital Medical Center Pharmacy

  • Institutional Pharmacy
  • Los Angeles, CA
  • NPI 1487680690
  NPD tax ID

Locations

All facility ownership & control disclosures 87

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

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1487790697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 S COLLEGE DR",
            "address_2": "STE C",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545325",
            "telephone_number": "805-739-3810",
            "fax_number": "805-739-3851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 S COLLEGE DR STE C",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545325",
            "telephone_number": "805-739-3810",
            "fax_number": "805-739-3851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGNITY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "VP POST ACUTE CARE SERVICES",
        "authorized_official_telephone_number": "805-739-3830",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dignity Health Home Infusion Services",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Dignity Health Home Infusion Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Claire Mina Dicke
• Brett Diettinger
• Katelyn Atkin Dietz, FNP
• Dignity Health (Marian Extended Care)
• Dignity Health (Dignity Health Home Health)
• Dignity Health (Marian Regional Medical Center CSU)
• Dignity Health
• Dignity Health (Dignity Health Hospice)
• Dignity Health
• Dillard Dialysis LLC (Discovery Home Training)

• Home Infusion Therapy Pharmacy in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Home Infusion Therapy Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.