NPIMap

Organization Active NPI

Oroville Hospital

  • Clinic/Center
  • Oroville, CA
National Provider Identifier
1598869828
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
OROVILLE HOSPITAL
Practice address
2809 Olive Hwy
Suite 330
Oroville, CA 95966-6131
Phone
(530) 533-0774
Fax
(530) 533-3568
NPI assigned
Sep 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Authorized official

Name
Mr. Robert J Wentz
Title
Ceo/President
Phone
(530) 533-8550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2809 Olive Hwy
Suite 330
Oroville, CA 95966-6131

Mailing address

2767 Olive Hwy
Oroville, CA 95966-6118

Other identifiers 1

IdentifierTypeStateIssuer
RHM08583FMedicaidCA

Other names 1

  • Pediatric Practice Associates Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050629000997 CA Part A Provider - Rural Health Clinic 1254234339 Practice locations: Oroville, CA

Rural health clinic certification: CCN 058583

Legal name
OROVILLE HOSPITAL
Doing business as
OROVILLE PEDIATRIC ASSOCIATES
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Aug 14, 2002
Last certification
Apr 4, 2017
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Oct 18, 1985 in CA
Enrollment address
2809 Olive Hwy
Ste 330
Oroville, CA 95966-6135
Related CCNs
050030

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

Other NPIs with the same Medicare PAC ID 13

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

View all 13

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0925347Oroville Pediatric Associates2809 Olive Highway Ste 330, Oroville, CA 95966Certificate of waiverApr 1, 2028

National Provider Directory

National Provider Directory
Tax ID family
Thomas R Newlandercrna34 organizations share this tax ID, including this one

Other organizations with this tax ID 33

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

View all 33

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Colleen Sue Duncan Individual Corporate OfficerCfo Jan 31, 2020
Robert J Wentz Individual Corporate OfficerCeo Nov 2, 1984
W-2 Managing Employee Mar 1, 1991
Matthew J Bazzani Individual Corporate DirectorBoard Member Jan 1, 2016
Orohealth Corporation a Non Profit Healthcare System Organization, Oroville, CA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Nov 1, 1986 100%
Roy C Shannon Individual Corporate DirectorBoard Member Sep 25, 2014
Sultan M Chopan Individual Corporate DirectorBoard Member Sep 25, 2014
Margaret F Mallette Individual Corporate DirectorBoard Member May 21, 2008
Seng Yang Individual Corporate DirectorBoard Member Feb 1, 2022
Jo L Dilbeck Individual Corporate OfficerChief Reimbursement Officer Sep 1, 2003
Edward R Gilbert Individual Corporate DirectorBoard Member Sep 25, 2014
James H Moll Individual Corporate DirectorBoard Member Sep 25, 2014

Owners & managing parties with NPI records 4

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
Oroville Hospital Post Acute CenterOroville, CA, CCN 555281 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019

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.

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1598869828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2767 OLIVE HWY",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959666118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 OLIVE HWY",
            "address_2": "SUITE 330",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959666131",
            "telephone_number": "530-533-0774",
            "fax_number": "530-533-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OROVILLE HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "WENTZ",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "530-533-8550",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHM08583F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Practice Associates",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Pediatric Practice Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oroville, CA

Sources for this page

Verify at the official NPI Registry.