Active NPI
VSC Hbo, LLC
Doing business as HealthBridge Children's Hospital
- Special Hospital
- Orange, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Special Hospital
- Legal business name
- VSC HBO, LLC
- Doing business as
- HealthBridge Children's Hospital
- Practice address
- 393 S Tustin St
Orange, CA 92866-2501 - Phone
- (714) 289-2400
- Fax
- (714) 289-2367
- NPI assigned
- Nov 25, 2020
- Last updated
- May 28, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roberta Louise Consolver, RN
- Title
- Ceo
- Phone
- (714) 289-2400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Special Hospital | 284300000X | Primary |
Addresses
Primary practice location
393 S Tustin St
Orange, CA 92866-2501
Mailing address
393 S Tustin St
Orange, CA 92866-2501
Phone (714) 289-2400
Other practice location 1
2850 Red Hill Ave Ste 140
Santa Ana, CA 92705-5539
Phone (714) 957-4074
Other names 1
- HealthBridge Children's Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210324002349 | CA | Part A Provider - Skilled Nursing Facility | 9234542267 | Practice locations: Orange, CA |
| O20210408002175 | CA | Part A Provider - Hospital | 9234542267 | Practice locations: Orange, CA |
NPI to CCN mapping 2
The Medicare certification numbers (CCNs) connected to NPI 1528662954. Details of each certification follow.
Skilled nursing facility certification: CCN 555753
- Legal name
- VSC HBO, LLC
- Doing business as
- HEALTHBRIDGE CHIILDREN'S HOSPITAL - ORANGE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 23, 2000
- Last certification
- Feb 24, 2025
- Beds
- 21
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Enrollment address
- 393 S Tustin St
Orange, CA 92866-2501 - Nursing home name
- HEALTHBRIDGE CHILDREN'S HOSPITAL - ORANGE D/P SNF
Hospital certification: CCN 053308
- Legal name
- VSC HBO, LLC
- Doing business as
- HEALTHBRIDGE CHILDREN'S HOSPITAL-ORANGE
- Certification status
- Active
- Provider type (POS)
- Hospital – Children’s
- Participating since
- Feb 23, 2000
- Last certification
- Apr 6, 2016
- Beds
- 6
- Ownership / control type
- Private (for profit)
- Most recent change of ownership
- Apr 1, 2021 (1 total)
- Organization structure
- LLC
- Enrollment address
- 395 S Tustin St
Orange, CA 92866-2501 - Hospital subgroups
- General, Acute care
Care Compare: Hospital
Medicare Care Compare- Listed as
- Healthbridge Children's Hospital - Orange
- Type
- Childrens
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- No
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Healthbridge Children's Hospital - Orange D/P SNF
- Overall star rating
- Health inspections
- Staffing
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Feb 23, 2000
- Medicare certification status
- Active
- Certified beds
- 21
National Provider Directory
National Provider Directory- Tax ID family
- VSC Hbo LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Healthbridge Children's Hospital
- Pediatric Skilled Nursing Facility
- Orange, CA
- NPI 1629965926
Locations
393 S Tustin St
Orange, CA 92866
Phone (714) 289-2400
395 S Tustin St
Orange, CA 92866
Phone (714) 289-2400
2850 Red Hill Ave
Ste 140
Santa Ana, CA 92705
Phone (714) 957-4074
Ownership & related parties
All disclosed owners & managing parties 13
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| HB Tenant Holdings LLC | 5% Or Greater Indirect Ownership Interest | Sep 21, 2020 | 100% |
| Daniel S Larson | 5% Or Greater Indirect Ownership Interest | Sep 21, 2020 | 16.67% |
| Operational/Managerial Control | Sep 21, 2020 | ||
| Vivra Pediatric Care, LLC | 5% Or Greater Indirect Ownership Interest | Sep 21, 2020 | 50% |
| Aha Healthbridge Partners, LLC | 5% Or Greater Indirect Ownership Interest | Sep 21, 2020 | 100% |
| Sherri L Medina | 5% Or Greater Direct Ownership Interest | Sep 21, 2020 | 16.67% |
| Operational/Managerial Control | Sep 21, 2020 | ||
| Operational/Managerial Control | Sep 21, 2020 | ||
| David B. Weiss Revocable Trust | 5% Or Greater Indirect Ownership Interest | Sep 21, 2020 | 10% |
| Dodici Holdings LLC | 5% Or Greater Indirect Ownership Interest | Sep 21, 2020 | 16.67% |
| Ascension Care Continuum, LLC | 5% Or Greater Indirect Ownership Interest | Sep 21, 2020 | 50% |
| Roberta L Consolver | W-2 Managing Employee | Sep 21, 2020 | |
| W-2 Managing Employee | Sep 21, 2020 | ||
| Carondelet Health | 5% Or Greater Indirect Ownership Interest | Sep 21, 2020 | 50% |
| David B Weiss | 5% Or Greater Indirect Ownership Interest | Sep 21, 2020 | |
| 5% Or Greater Indirect Ownership Interest | Sep 21, 2020 | 10% | |
| Operational/Managerial Control | Sep 21, 2020 | ||
| Barbara L. Weiss Irrevocable Trust | 5% Or Greater Indirect Ownership Interest | Sep 21, 2020 | 6.67% |
| VSC Hbo, LLC | 5% Or Greater Direct Ownership Interest | Sep 21, 2020 | 100% |
Practitioners & affiliated clinicians
Practitioners 10
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.
-
- Pediatrics Physician
- Madera, CA
- NPI 1457778706
-
- Pediatrics Physician
- Whittier, CA
- NPI 1770015505
-
- Pediatrics Physician
- Delano, CA
- NPI 1174677207
-
- Pediatrics Physician
- Irvine, CA
- NPI 1306224738
-
- Pediatrics Physician
- Orange, CA
- NPI 1184637308
-
- Pediatric Critical Care Medicine Physician
- Orange, CA
- NPI 1972792877
-
- Pediatric Critical Care Medicine Physician
- Orange, CA
- NPI 1548233018
-
- Speech-Language Pathologist
- Orange, CA
- NPI 1285022335
-
- Pediatrics Physician
- Orange, CA
- NPI 1851588156
-
- Pediatrics Physician
- Orange, CA
- NPI 1043306863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779926400000",
"number": "1528662954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "393 S TUSTIN ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928662501",
"telephone_number": "714-289-2400",
"fax_number": "714-289-2367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "393 S TUSTIN ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928662501",
"telephone_number": "714-289-2400",
"fax_number": "714-289-2367"
}
],
"practiceLocations": [
{
"address_1": "2850 Red Hill Ave Ste 140",
"address_purpose": "LOCATION",
"city": "Santa Ana",
"state": "CA",
"postal_code": "927055539",
"country_code": "US",
"telephone_number": "714-957-4074",
"fax_number": "714-289-2367",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "VSC HBO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-25",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A",
"authorized_official_last_name": "CONSOLVER",
"authorized_official_first_name": "ROBERTA",
"authorized_official_middle_name": "LOUISE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "714-289-2400",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "284300000X",
"taxonomy_group": "",
"desc": "Special Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "HealthBridge Children's Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.