NPIMap

Organization Active NPI

Sutter Visiting Nurse Association and Hospice

  • Durable Medical Equipment & Medical Supplies
  • Roseville, CA
National Provider Identifier
1669115804
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SUTTER VISITING NURSE ASSOCIATION AND HOSPICE
Practice address
3001 Lava Ridge CT Ste 310
Roseville, CA 95661-2838
Phone
(800) 281-1764
NPI assigned
Apr 15, 2022
Organization subpart
Yes
Parent organization
SUTTER VISITING NURSE ASSOCIATION AND HOSPICEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Authorized official

Name
Mark K McPherson
Title
Ceo
Phone
(707) 864-4660

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Oxygen Equipment & Supplies (DME) 332BX2000X

Addresses

Primary practice location

3001 Lava Ridge CT Ste 310
Roseville, CA 95661-2838

Mailing address

5099 Commercial Cir Ste 208
Concord, CA 94520-1374
Phone (855) 771-0328

Other names 1

  • TIMBERLAKE RESPIRATORY CARE & HOME MEDICAL EQUIPMENT Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240626002133 CA DME Supplier - Medical Supply Company With Respiratory Therapist 1052228673 Practice locations: Roseville, CA

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Timberlake Respiratory Care & HME3001 Lava Ridge CT, Roseville, CA 95661-2838(800) 281-1764 Continuous Positive Airway Pressure (CPAP) Devices|Respiratory Assist Devices Does not accept assignmentParticipating since Aug 1, 2005

National Provider Directory

National Provider Directory
Tax ID family
Sutter Visiting Nurse39 organizations share this tax ID, including this one
Part of
Sutter Visiting Nurse

Other organizations with this tax ID 38

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

View all 38

Locations

1025 Atlantic Ave
Ste 100
Alameda, CA 94501
Phone (510) 263-0900

1105 Atlantic Ave
Ste 102
Alameda, CA 94501
Phone (510) 263-1741

1025 Atlantic Ave
Ste 100B
Alameda, CA 94501
Phone (510) 618-5200

5099 Commercial Cir
Ste 210
Concord, CA 94520
Phone (925) 363-4120

4071 Port Chicago Hwy
Ste 120
Concord, CA 94520
Phone (925) 363-4120

100 Rowland Way
Ste 215
Novato, CA 94945
Phone (415) 493-3300

3001 Lava Ridge Ct
Ste 310
Roseville, CA 95661
Phone (800) 281-1764

3001 Lava Ridge Ct
#300A
Roseville, CA 95661
Phone (916) 797-7979

3001 Lava Ridge Ct
Ste 330A
Roseville, CA 95661
Phone (916) 797-7979

8334 Ferguson Ave
Sacramento, CA 95828
Phone (916) 388-6255

8330 Ferguson Ave
Sacramento, CA 95828
Phone (916) 388-6233

1 S Van Ness Ave
Fl 8
San Francisco, CA 94103
Phone (415) 600-4404

1625 Van Ness Ave
Fl 4
San Francisco, CA 94109
Phone (415) 600-0460

1625 Van Ness Ave
#4B
San Francisco, CA 94109
Phone (415) 600-0400

2800 Leavenworth St
Ste 350A
San Francisco, CA 94133
Phone (415) 749-4200

1651 Alvarado St
San Leandro, CA 94577
Phone (510) 618-5200

700 S Claremont St
Ste 220
San Mateo, CA 94402
Phone (206) 744-9102

1670 S Amphlett Blvd
Ste 300A
San Mateo, CA 94402
Phone (650) 685-2800

4000 Civic Center Dr
Ste 190
San Rafael, CA 94903
Phone (415) 492-4600

400 Plumas Blvd
Ste 115B
Yuba City, CA 95991
Phone (530) 749-3450

Practitioners & affiliated clinicians

Practitioners 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1669115804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5099 COMMERCIAL CIR STE 208",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945201374",
            "telephone_number": "855-771-0328",
            "fax_number": "707-863-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 LAVA RIDGE CT STE 310",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612838",
            "telephone_number": "800-281-1764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTER VISITING NURSE ASSOCIATION AND HOSPICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUTTER VISITING NURSE ASSOCIATION AND HOSPICE",
        "enumeration_date": "2022-04-15",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "MCPHERSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "707-864-4660"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TIMBERLAKE RESPIRATORY CARE & HOME MEDICAL EQUIPMENT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TIMBERLAKE RESPIRATORY CARE & HOME MEDICAL EQUIPMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.