NPIMap

Organization Active NPI

Sierra Vista Hospital, Inc.

Doing business as Sierra Vista Regional Medical Center

  • General Acute Care Hospital
  • San Luis Obispo, CA
National Provider Identifier
1639101116
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
050000059 Issued in CA
Legal business name
SIERRA VISTA HOSPITAL, INC.
Doing business as
Sierra Vista Regional Medical Center
Practice address
1010 Murray St
San Luis Obispo, CA 93405-8800
Phone
(805) 546-7600
NPI assigned
Jul 7, 2006
Last updated
Mar 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Authorized official

Name
Scott Wartelle
Title
Cfo
Phone
(805) 546-7797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 050000059 CA Primary

Addresses

Primary practice location

1010 Murray St
San Luis Obispo, CA 93405-8800

Mailing address

File 57445
Los Angeles, CA 90074-7445
Phone (209) 578-2513

Other identifiers 8

IdentifierTypeStateIssuer
000436OtherHUMANA
005873-0001OtherPACIFICARE OF CALIFORNIA
ZZT40506FMedicaidCA
ZZZA4002ZOtherBS OF CALIFORNIA
050506OtherBC OF CALIFORNIA
HSC30506FMedicaidCA
978127350OtherAETNA US HEALTHCARE
050506B000000OtherSECTION 1011

Other names 1

  • Sierra Vista Regional Medical Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SVM@Direct.Hub2.TenetHealth.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100526000278 CA Part A Provider - Hospital 3072611524 Practice locations: Cambria, CA; San Luis Obispo, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1639101116. Details of each certification follow.

Hospital certification: CCN 050506

Legal name
SIERRA VISTA HOSPITAL, INC.
Doing business as
ADVENTIST HEALTH SIERRA VISTA
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Sep 23, 1968
Last certification
Oct 20, 2023
Beds
186 (171 certified)
Ownership / control type
Private (for profit)
Organization structure
CorporationProprietary
Enrollment address
1010 Murray Ave
San Luis Obispo, CA 93405-1806
Main/Primary Hospital Location
Hospital subgroups
Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
Adventist Health Sierra VistaCCN 050506 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

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
05D0921025Adventist Health Sierra Vista1010 Murray Avenue, San Luis Obispo, CA 93405AccreditationMay 12, 2028

National Provider Directory

National Provider Directory
Tax ID family
Ami Sierra Vista Reg Me2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

5855 Capistrano Ave
Ste C
Atascadero, CA 93422
Phone (805) 466-6817

File 57445
Los Angeles, CA 90074

77 Casa St
Ste 102
Sn Luis Obisp, CA 93405
Phone (805) 546-7698

Interoperability endpoints

  • Direct secure messaging: svm@direct.hub2.tenethealth.com

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Kerry L Heinrich Individual Corporate OfficerChair Mar 29, 2024
Corporate DirectorBoard Member Mar 28, 2024
W-2 Managing EmployeePresident and Ceo Mar 29, 2024
John H Cress Individual Corporate DirectorBoard Member Oct 1, 2024
Meredith S Jobe Individual Corporate OfficerSecretary Mar 29, 2024
Eric a Stevens Individual Corporate OfficerVice Chair Mar 5, 2025
Richard K Reiner Individual Corporate DirectorBoard Member Mar 28, 2024
Joy a. Fehr Individual Corporate DirectorBoard Member Mar 28, 2024
Ryan Ashlock Individual Corporate OfficerPresident Jun 9, 2024
W-2 Managing Employee Jun 9, 2024
Jonathan J Daggett Individual Corporate DirectorBoard Member Mar 28, 2024
Andrew R Davis Individual Corporate DirectorBoard Member Mar 28, 2024
Ann K Beckett Individual Corporate DirectorBoard Member Mar 28, 2024
Marc K Woodson Individual Corporate DirectorBoard Member Mar 28, 2024
John C Freedman Individual Corporate DirectorBoard Member Mar 28, 2024
Jack W Wagner Individual Corporate DirectorBoard Member Mar 28, 2024
Kenneth Jutzy Individual Corporate DirectorBoard Member Mar 28, 2024
Bradford C Newton Individual Corporate DirectorBoard Member Mar 28, 2024
Theodore Combis Individual Corporate OfficerTreasurer Jul 1, 2024
Robert a Cherry Individual Corporate DirectorBoard Member Mar 28, 2024
Larry L Innocent Individual Corporate DirectorBoard Member Mar 28, 2024
Adventist Health System/West Organization, Roseville, CA Corporation, Non-profit, Chain home office Operational/Managerial Control Mar 29, 2024 100%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 105

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

View all 105

Practitioners & affiliated clinicians

Affiliated clinicians 311

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

View all 311

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1639101116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FILE 57445",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900747445",
            "telephone_number": "209-578-2513",
            "fax_number": "805-546-7892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 MURRAY ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934058800",
            "telephone_number": "805-546-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA VISTA HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "WARTELLE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "805-546-7797"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "050000059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "000436",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE OF CALIFORNIA",
            "identifier": "005873-0001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT40506F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS OF CALIFORNIA",
            "identifier": "ZZZA4002Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC OF CALIFORNIA",
            "identifier": "050506",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSC30506F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "978127350",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECTION 1011",
            "identifier": "050506B000000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SVM@Direct.Hub2.TenetHealth.com",
            "affiliation": "N",
            "endpointDescription": "Direct Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1010 Murray St",
            "city": "San Luis Obispo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "934058800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Sierra Vista Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sierra Vista Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.