Organization Active NPI

Dignity Community Care

Doing business as Chandler Regional Medical Center

  • General Acute Care Hospital
  • Chandler, AZ
National Provider Identifier
1700910189
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H3002 Issued in AZ
Legal business name
DIGNITY COMMUNITY CARE
Doing business as
Chandler Regional Medical Center
Practice address
475 S Dobson Rd
Chandler, AZ 85224-5605
Phone
(480) 963-4561
Fax
(480) 728-3875
NPI assigned
Mar 15, 2007
Last updated
Jun 24, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
DIGNITY COMMUNITY CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Authorized official

Name
Eric Sorenson
Title
Chief Financial Officer
Phone
(480) 728-3144

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X OTC 2994 AZ
Urgent Care Clinic/Center 261QU0200X OTC 1528 AZ
General Acute Care Hospital 282N00000X H3002 AZ Primary

Addresses

Primary practice location

475 S Dobson Rd
Chandler, AZ 85224-5605

Mailing address

475 S Dobson Rd
Chandler, AZ 85224-5605
Phone (480) 963-4561

Other identifiers 14

IdentifierTypeStateIssuer
721561132852240000OtherAZTRICARE
500498001MedicaidAZ
721561132OtherAZIRS
AZ0208850OtherAZBLUE CROSS BLUE SHIELD
6140115OtherAETNA
AZ0208860OtherAZBLUE CROSS BLUE SHIELD
5663439OtherAZAETNA FACILITY
AZ0208830OtherAZBLUE CROSS BLUE SHIELD
F00160MedicaidAZ
IZ0610OtherAZHEALTHNET FACILITY ID
500498MedicaidAZ
5457625OtherAZAETNA FACILITY
72156113285224A001OtherAZTRICARE
72156113285048A001OtherAZTRICARE

Other names 1

  • Chandler Regional Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190315001073 AZ Part A Provider - Hospital 9032458013 Practice locations: Chandler, AZ; Gilbert, AZ; Maricopa, AZ; Phoenix, AZ
O20220909003085 AZ Part B Supplier - Clinic/Group Practice 9032458013 Receives reassigned benefits from 28 practitioners
Practice locations: Gilbert, AZ; Maricopa, AZ; Phoenix, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700910189. Details of each certification follow.

Hospital certification: CCN 030036

Legal name
DIGNITY COMMUNITY CARE
Doing business as
CHANDLER REGIONAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jan 1, 1976
Last certification
Dec 14, 2018
Beds
429
Ownership / control type
Private (not for profit)
Most recent change of ownership
Feb 1, 2019 (3 total)
Organization structure
CorporationNon-profit
Incorporated
Jan 10, 2017 in CO
Enrollment address
1955 W Frye Rd
Chandler, AZ 85224-6282
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Other NPIs with the same Medicare PAC ID 9

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Chandler Regional Medical CenterCCN 030036 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
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
03D0529500Dignity Community Care1955 W Frye Rd, Chandler, AZ 85224AccreditationJan 2, 2027
03D0860567Dignity Community Care Dba475 South Dobson Road, Chandler, AZ 85224AccreditationSep 20, 2026

National Provider Directory

National Provider Directory
Part of
Dignity Community Care

Locations

1727 W Frye Rd
Ste 110
Chandler, AZ 85224
Phone (480) 455-1850

1501 N Gilbert Rd
Gilbert, AZ 85234
Phone (480) 503-5400

1513 S Grand Ave
Fl 4
Los Angeles, CA 90015
Phone (213) 742-6400

File 56224
Los Angeles, CA 90074

1352 Los Osos Valley Rd
Ste A
Los Osos, CA 93402
Phone (805) 528-0606

2900 Whipple Ave
Ste 100110
Redwood City, CA 94062
Phone (650) 367-5259

749 Brewster Ave
Redwood City, CA 94063
Phone (650) 367-5998

8151 Bruceville Rd
Sacramento, CA 95823
Phone (916) 423-6000

1941 Johnson Ave
Ste 103A
San Luis Obispo, CA 93401
Phone (805) 597-6700

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Marvin O'Quinn Individual Corporate OfficerPresident/Chief Executive Office Feb 1, 2019
Corporate DirectorChair, Director Jan 27, 2021
Commonspirit Health Organization, Chicago, IL Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2019 100%
Operational/Managerial Control Feb 1, 2019 100%
Scott Carswell Individual Corporate DirectorDirector Jan 27, 2021
Dignity Health Organization, San Francisco, CA Corporation, Non-profit Other Feb 1, 2019
Daniel Morissette Individual Corporate OfficerChief Financial Officer Feb 1, 2019
Mitch Melfi Individual Corporate OfficerVice Chair, Secretary, Director Jan 27, 2021
Corporate DirectorVice Chair, Secretary, Director Jan 27, 2021
Elizabeth Shih Individual Corporate OfficerAsst Secretary, Director Jan 27, 2021
Corporate DirectorAsst Secretary, Director Jan 27, 2021
Steven W Scharmann Individual Corporate OfficerAdministrator of Payor Programs Nov 14, 2022
W-2 Managing EmployeeSystem Vice President Revenue Cycle Feb 1, 2019
Operational/Managerial ControlSystem Vice President Revenue Cycle Feb 1, 2019
John E Petersdorf Individual Corporate OfficerAdministrator of Payor Programs Nov 14, 2022
W-2 Managing EmployeeSys SVP Operational Finance Feb 1, 2019
Operational/Managerial ControlSys SVP Operational Finance Feb 1, 2019
Dignity Community Care Organization, San Francisco, CA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Feb 1, 2019 100%
Operational/Managerial Control Feb 1, 2019 100%

Owners & managing parties with NPI records 9

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

All facility ownership & control disclosures 32

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

FacilityTypeRoleSince
Yavapai Regional Medical CenterPrescott, AZ, CCN 030012 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2020
Bakersfield Memorial HospitalBakersfield, CA, CCN 050036 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2019
UCSF Health Community HospitalsSan Francisco, CA, CCN 050152 Hospital Operational/Managerial Control Feb 1, 2019
Mark Twain Medical CenterSan Andreas, CA, CCN 051332 Hospital Other (99%) May 31, 2019
Community Hospital of San BernardinoSan Bernardino, CA, CCN 050089 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2019
San Bernardino Community HospitalSan Bernardino, CA, CCN 05S089 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2019
Dignity Health Arizona General HospitalLaveen, AZ, CCN 030136 Hospital 5% Or Greater Indirect Ownership Interest (100%) Feb 1, 2019
Dignity Health Arizona General HospitalMesa, AZ, CCN 030139 Hospital 5% Or Greater Indirect Ownership Interest (100%) Feb 1, 2019
Mark Twain Medical CenterSan Andreas, CA, CCN 05Z332 Hospital 5% Or Greater Indirect Ownership Interest (99%)
Other (99%)
Feb 1, 2019
May 31, 2019
Woodland Memorial HospitalWoodland, CA, CCN 05S127 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2019
French Hospital Medical CenterSan Luis Obispo, CA, CCN 050232 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2019
Glendale Memorial Hospital and Health CenterGlendale, CA, CCN 050058 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Feb 1, 2019
Feb 1, 2019
Glendale Memorial Hospital and Health CenterGlendale, CA, CCN 05T058 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2019
Glendale Memorial Hospital and Health CenterGlendale, CA, CCN 05S058 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2019
Sequoia HospitalRedwood City, CA, CCN 050197 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2019
Northridge Hospital Medical CenterNorthridge, CA, CCN 050116 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2019
Northridge Hospital Medical CenterNorthridge, CA, CCN 05T116 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2019
Northridge Hospital Medical CenterNorthridge, CA, CCN 05S116 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2019
California Hospital Medical CenterLos Angeles, CA, CCN 050149 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Feb 1, 2019
Feb 1, 2019
Methodist Hospital of SacramentoSacramento, CA, CCN 050590 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Feb 1, 2019
Feb 1, 2019
Woodland Memorial HospitalWoodland, CA, CCN 050127 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Feb 1, 2019
Feb 1, 2019
Community Hospital of San BernardinoSan Bernardino, CA, CCN 555522 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2019
Community Convalescent Center of San BernardinoSan Bernardino, CA, CCN 056107 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2019
Methodist Hospital of Sacramento - Bruceville TerraceSacramento, CA, CCN 555344 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Feb 1, 2019
Feb 1, 2019
Pathways Home Health and HospiceSunnyvale, CA, CCN 057190 Home health agency Operational/Managerial Control (50%) Apr 1, 1986
Woodland Healthcare Home HealthWoodland, CA, CCN 057274 Home health agency 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2019
Commonspirit Health at HomeSunnyvale, CA, CCN 051580 Hospice 5% Or Greater Direct Ownership Interest (50%) Apr 1, 1986
Commonspirit Health at HomeOakland, CA, CCN 051506 Hospice 5% Or Greater Direct Ownership Interest (50%) Apr 1, 1986
Family Medical Center - San AndreasSan Andreas, CA, CCN 058940 Rural health clinic 5% Or Greater Indirect Ownership Interest (99%) Feb 1, 2019
James Dalton Medical OfficeAngels Camp, CA, CCN 058574 Rural health clinic 5% Or Greater Indirect Ownership Interest (99%)
Other
Feb 1, 2019
May 31, 2019
Family Medical Center - ArnoldArnold, CA, CCN 058573 Rural health clinic 5% Or Greater Indirect Ownership Interest (99%)
Operational/Managerial Control (99%)
Feb 1, 2019
Feb 1, 2019
Family Medical Center-CopperopolisCopperopolis, CA, CCN 058548 Rural health clinic Other May 31, 2019

Owned or controlled facilities with NPI records 42

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

View all 42

Facilities with the same owner 22

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

View all 22

Practitioners & affiliated clinicians

Practitioners 260

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.

View all 260

Affiliated clinicians 881

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

View all 881

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1700910189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 S DOBSON RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245605",
            "telephone_number": "480-963-4561",
            "fax_number": "480-728-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 S DOBSON RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245605",
            "telephone_number": "480-963-4561",
            "fax_number": "480-728-3875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGNITY COMMUNITY CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIGNITY COMMUNITY CARE",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "SORENSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "480-728-3144"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "AZ",
            "license": "OTC 2994",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "AZ",
            "license": "OTC 1528",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AZ",
            "license": "H3002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "721561132852240000",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500498001",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS",
            "identifier": "721561132",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0208850",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "6140115",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0208860",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA FACILITY",
            "identifier": "5663439",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0208830",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F00160",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET FACILITY ID",
            "identifier": "IZ0610",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500498",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA FACILITY",
            "identifier": "5457625",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "72156113285224A001",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "72156113285048A001",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chandler Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chandler Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.