St. Joseph Health Northern California, LLC

Organization Active NPI Rehabilitation Hospital Unit · Napa, CA

NPI 1609947282 · NPPES record last updated May 8, 2025

Key facts

NPI
1609947282
Entity type
Organization (NPI type 2)
Primary specialty
Rehabilitation Hospital Unit 273Y00000X
Legal business name
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC
Practice address
1000 Trancas St
Napa, CA 94558
Phone
(707) 252-4411
Fax
(707) 257-4113
NPI assigned
Nov 13, 2006
Organization subpart
Yes
Parent organization (as reported)
ST JOSEPH HEALTH SYSTEM

Authorized official

Name
Donald Wayne Anderson Jr.
Title
Assistant Secretary of Enrollments
Phone
(425) 358-9786

Owners & managing parties with NPI records 10

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

Owned or controlled facilities with NPI records 21

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 8

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

Corporate family (same tax ID) 20

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

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

Facilities with the same owner 139

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

View all 139

Practitioners 298

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 298

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Medicare Care Compare: Inpatient rehabilitation facility

Listed as
Providence Queen of the Valley Medical Center CCN 05T009
Ownership
Non-profit
Certified
Jul 1, 1995

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Hospital certification: CCN 05T009

Legal name
ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC
Doing business as
PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER
Organization structure
LLC · Non-profit
Incorporated
Oct 27, 2016 in CA
Enrollment address
1000 Trancas St
Napa, CA 94558-2906
Hospital Rehabilitation Unit
Hospital subgroups
General, Acute care, Rehabilitation unit

All disclosed owners & managing parties 18

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

NameRoleSinceShare
James C Devore
Individual
Corporate Director
Member, Board of Managers
Jan 1, 2018
Oluyemi Adeyanju
Individual
Corporate Officer
VP, Sr Corporate Counsel
Apr 1, 2018
Judith L Coffey
Individual
Corporate Director
Board Member
May 26, 2021
Mary Bernadette McNulty
Individual
Corporate Director
Member, Board of Managers
Apr 1, 2018
Providence Health & Services - Washington
Organization · Renton, WA
Corporation, Non-profit
Operational/Managerial Control Oct 1, 2020
John Aryanpur
Individual
Corporate Director
Member, Board of Managers
Jan 1, 2020
Shelby D Arveson
Individual
Corporate Officer
Cfo
May 30, 2024
Garry Olney
Individual
W-2 Managing Employee Nov 5, 2023
Conrad Hewitt
Individual
Corporate Director
Member, Board of Managers
Apr 1, 2018
Donald Wayne Anderson
Individual
Corporate Officer
Assistant Secretary of Enrollments
Oct 1, 2020
Keith Flamer
Individual
Corporate Director
Member, Board of Managers
Nov 28, 2023
Gregory David Hoffman
Individual
Corporate Officer
President/Ceo & Treasurer
Oct 1, 2020
Jed Weissberg
Individual
Corporate Director
Board Member
May 26, 2021
St. Joseph Health System
Organization · Irvine, CA
Corporation, Non-profit
Other Apr 1, 2018
Laureen T Driscoll
Individual
Corporate Officer
Chief Executive
Jan 25, 2022
Pamela a Kindig
Individual
Corporate Director
Member, Board of Managers
Jan 1, 2020
St Joseph Health Northern California LLC
Organization · Irvine, CA
LLC, Non-profit
5% Or Greater Direct Ownership Interest Apr 1, 2018 100%
Providence St. Joseph Health
Organization · Renton, WA
Corporation, Non-profit
Other Apr 1, 2018

All facility ownership & control disclosures 15

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

FacilityTypeRoleSince
Providence Redwood Memorial Hospital
Fortuna, CA · CCN 051318
Hospital 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2018
Providence Queen of the Valley Medical Center
Napa, CA · CCN 050009
Hospital 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2018
Providence St. Joseph Hospital
Eureka, CA · CCN 050006
Hospital 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2011
Providence Redwood Memorial Hospital
Fortuna, CA · CCN 05Z318
Hospital 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2018
Providence Santa Rosa Memorial Hospital
Santa Rosa, CA · CCN 050174
Hospital 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2018
Providence Santa Rosa Memorial Hospital
Santa Rosa, CA · CCN 05T174
Hospital 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2018
Petaluma Valley Hospital
Petaluma, CA · CCN 050136
Hospital Operational/Managerial Control Jan 1, 2021
Healdsburg Hospital
Healdsburg, CA · CCN 05Z321
Hospital Operational/Managerial Control Jan 1, 2021
Healdsburg Hospital
Healdsburg, CA · CCN 051321
Hospital Operational/Managerial Control Jan 1, 2021
Healdsburg Hospital
Healdsburg, CA · CCN 555590
Skilled nursing facility Operational/Managerial Control Jan 1, 2021
Providence Home Health Sonoma
Santa Rosa, CA · CCN 557433
Home health agency Other Apr 1, 2018
Providence Home Health Humboldt
Eureka, CA · CCN 057256
Home health agency Operational/Managerial Control Apr 1, 2018
Providence Hospice Napa Valley
Napa, CA · CCN 051537
Hospice Other Jun 1, 2020
Providence Hospice Sonoma County
Petaluma, CA · CCN 051557
Hospice 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2018
Providence Family Practice
Fortuna, CA · CCN 058698
Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2018

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20180320003140 CA Part a Provider - Hospital 8921374562 Practice locations: Napa, CA

National Provider Directory

Tax ID family
St Joseph Health Northern California LLC (21 organizations share this tax ID)

Locations

909 S Santa Anita Ave
Ste B
Arcadia, CA 91006
Phone (626) 464-6800

935 W Foothill Blvd
Claremont, CA 91711
Phone 626851888011

10800 Paramount Blvd
Ste 307
Downey, CA 90241
Phone (562) 923-3714

931 Buena Vista St
Ste 202
Duarte, CA 91010
Phone (626) 301-1515

11017 Main St
El Monte, CA 91731

11436 Garvey Ave
El Monte, CA 91732
Phone (626) 459-5420

315 E Route 66
Glendora, CA 91740
Phone (626) 963-4124

130 W Route 66
Ste 308
Glendora, CA 91740

3680 E Imperial Hwy
Ste 502
Lynwood, CA 90262
Phone (310) 905-3331

1100 Trancas St
Ste 211
Napa, CA 94558
Phone (707) 224-4250

1100 Trancas St
Ste 201
Napa, CA 94558
Phone (707) 251-1867

3434 Villa Ln
Ste 150
Napa, CA 94558
Phone (707) 252-9660

4 Financial Plz
Napa, CA 94558
Phone (707) 266-7051

3434 Villa Ln
Ste 360
Napa, CA 94558
Phone (707) 257-4317

800 Trancas St
Ste A
Napa, CA 94558
Phone (707) 255-6212

1100 Trancas St
Ste 205
Napa, CA 94558
Phone (707) 251-3604

18750 Colima Rd
Rowland Heights, CA 91748
Phone (626) 912-1200

1100 San Bernardino Rd
Ste 1100
Upland, CA 91786
Phone (909) 949-2242

120 La Casa Via
Walnut Creek, CA 94598
Phone (925) 945-6070

933 S Sunset Ave
Ste 206
West Covina, CA 91790
Phone (626) 960-2977

1250 S Sunset Ave
#100B
West Covina, CA 91790
Phone (626) 472-0132

1250 S Sunset Ave
Ste 202
West Covina, CA 91790
Phone (626) 960-6588

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X Yes

Addresses

Primary practice location

1000 Trancas St
Napa, CA 94558

Mailing address

PO Box 31001-3059
Pasadena, CA 91110-3059
Phone (707) 252-4411

Other names

  • Providence Queen of the Valley Medical Center Doing business as

Other providers in Napa, CA

All providers in Napa, CA · Rehabilitation Hospital Unit in California

Sources for this page

Verify at the official NPI Registry.