Active NPI
Dignity Health
Doing business as St. Rose Dominican Hospital, Siena Campus
- General Acute Care Hospital
- Henderson, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 2969HOS10
- Legal business name
- DIGNITY HEALTH
- Doing business as
- St. Rose Dominican Hospital, Siena Campus
- Practice address
- 3001 Saint Rose Pkwy
Henderson, NV 89052-3839 - Phone
- (858) 275-8112
- Fax
- (779) 803-8118
- NPI assigned
- Feb 14, 2007
- Last updated
- Jun 18, 2025
- Organization subpart
- Yes
- Parent organization
- DIGNITY HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel Morissette
- Title
- Chief Financial Officer
- Phone
- (858) 275-8112
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 2969HOS10 | NV | Primary |
Addresses
Primary practice location
3001 Saint Rose Pkwy
Henderson, NV 89052-3839
Mailing address
3033 N 3Rd Ave
Phoenix, AZ 85013-4447
Phone (858) 275-8112
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 880455713 | Other | NV | IRS |
| 1202300 | Medicaid | NV | |
| 880455713890520000 | Other | TRICARE CHAMPUS | |
| 191301000 | Other | US DEPT OF LABOR | |
| 1002300 | Medicaid | NV | |
| 2307549 | Other | NV | AETNA |
| CC0272 | Other | NV | BLUE CROSS BLUE SHIELF |
| 1102300 | Medicaid | CA |
Other names 1
- St. Rose Dominican Hospital, Siena Campus
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030604000041 | NV | Part A Provider - Hospital | 2062320559 | Practice locations: Henderson, NV |
| O20121008000152 | NV | Part B Supplier - Clinic/Group Practice | 2062320559 |
Receives reassigned benefits from 25 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Henderson, NV; Las Vegas, NV |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1770626426. Details of each certification follow.
Hospital certification: CCN 290045
- Legal name
- DIGNITY HEALTH
- Doing business as
- ST. ROSE DOMINICAN HOSPITAL - SIENA CAMPUS
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Sep 6, 2000
- Last certification
- Jun 14, 2018
- Beds
- 326
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation
- Incorporated
- Oct 11, 1954 in CA
- Enrollment address
- 3001 Saint Rose Pkwy
Henderson, NV 89052-3839 - Hospital subgroups
- General, Acute care, Short-term, Other
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Dignity Health St. Rose Specialty Clinics
- Neurological Surgery Physician
- Henderson, NV
- NPI 1720358039
O20121008000152
-
- Family Medicine Physician
- Henderson, NV
- NPI 1376805416
O20121008000152
Care Compare: Hospital
Medicare Care Compare- Listed as
- Saint Rose Dominican Hospitals - Siena Campus
- Overall star rating
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
National Provider Directory
National Provider Directory- Part of
- Mercy Medical Ctr
Locations (25 of 29)
7600 Old Dominion Ct
#1
Aptos, CA 95003
Phone (831) 458-6200
528 Capitola Ave
Capitola, CA 95010
Phone (831) 475-1630
13768 Roswell Ave
Ste 118
Chino, CA 91710
Phone (909) 591-8200
24411 Health Center Dr
Ste 620
Laguna Hills, CA 92653
Phone (657) 241-8270
1505 Soquel Dr
Ste 1
Santa Cruz, CA 95065
Phone (831) 462-3800
1595 Soquel Dr
Ste 400
Santa Cruz, CA 95065
Phone (831) 475-1111
1667 Dominican Way
Ste 234
Santa Cruz, CA 95065
Phone (831) 476-3363
10001 S Eastern Ave
Ste 206
Henderson, NV 89052
Phone (702) 617-1981
10001 S Eastern Ave
Ste 209
Henderson, NV 89052
Phone (702) 616-5865
10170 S Eastern Ave
Ste 160
Henderson, NV 89052
Phone (702) 550-2273
2350 Corporate Cir
Ste 101
Henderson, NV 89074
Phone (702) 938-0088
2845 Siena Heights Dr
Ste 2100
Henderson, NV 89052
Phone (702) 492-4843
3031 W Horizon Ridge Pkwy
Ste 120
Henderson, NV 89052
Phone (702) 433-2777
3039 W Horizon Ridge Pkwy
Ste 110
Henderson, NV 89052
Phone (702) 478-5111
305 N Pecos Rd
Ste B
Henderson, NV 89074
Phone (702) 202-2700
9005 S Pecos Rd
Ste 2610
Henderson, NV 89074
Phone (702) 458-5263
1276 S Nellis Blvd
Las Vegas, NV 89104
Phone (725) 269-6465
1525 E Windmill Ln
Ste 201
Las Vegas, NV 89123
Phone (702) 434-6920
420 N Nellis Blvd
Ste 2100
Las Vegas, NV 89110
4855 Blue Diamond Rd
Ste 220
Las Vegas, NV 89139
Phone (702) 620-7007
501 Rose St
Ste 150
Las Vegas, NV 89106
Phone (702) 384-7770
5061 N Rainbow Blvd
Ste 180
Las Vegas, NV 89130
Phone (702) 220-8001
5770 S Durango Dr
Ste 100
Las Vegas, NV 89113
Phone (702) 359-5462
5775 S Fort Apache Rd
Ste 110
Las Vegas, NV 89148
Phone (702) 450-0003
6767 W Tropicana Ave
Las Vegas, NV 89103
Phone (702) 209-0370
Ownership & related parties
All disclosed owners & managing parties 8
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Marvin O'Quinn | Corporate Officer | Feb 1, 2019 | |
| Corporate Director | Jan 1, 2021 | ||
| Commonspirit Health | 5% Or Greater Indirect Ownership Interest | Feb 1, 2019 | 100% |
| Operational/Managerial Control | Feb 1, 2019 | 100% | |
| Scott Carswell | Corporate Director | Jan 1, 2021 | |
| Dignity Health | 5% Or Greater Direct Ownership Interest | Jul 18, 2000 | 100% |
| Daniel Morissette | Corporate Officer | Feb 1, 2019 | |
| Mitch Melfi | Corporate Officer | Jan 1, 2021 | |
| Corporate Director | Jan 1, 2021 | ||
| Steven W Scharmann | Corporate Officer | Nov 14, 2022 | |
| W-2 Managing Employee | Feb 1, 2019 | ||
| John E Petersdorf | Corporate Officer | Nov 14, 2022 | |
| W-2 Managing Employee | Feb 1, 2019 |
All facility ownership & control disclosures 86
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Arizona Spine and Joint Hospital LLC | Hospital | 5% Or Greater Indirect Ownership Interest | Jul 1, 2015 |
| St. Rose Dominican Hospital-Rose de Lima Campus | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jun 30, 1988 |
| Mercy Hospital - Bakersfield | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 31, 2001 |
| Arizona Specialty Hospital | Hospital | 5% Or Greater Indirect Ownership Interest (35%) | Feb 1, 2003 |
| Yavapai Regional Medical Center | Hospital | Other | Feb 1, 2019 |
| Bakersfield Memorial Hospital | Hospital | Other | Feb 1, 2019 |
| St Rose Dominican Hospitals - San Martin Campus | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Nov 6, 2006 Feb 1, 2019 |
| Mercy Hospital of Folsom | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 12, 1986 |
| Mercy San Juan Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 12, 1986 |
| Mercy General Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Sep 28, 2007 Sep 28, 2007 |
| Phoenix Children's Hospital | Hospital | 5% Or Greater Direct Ownership Interest (20%) | Mar 25, 2011 |
| Mercy Medical Center Mt Shasta | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 12, 1986 |
| Mercy Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | May 30, 1996 |
| St Bernardine Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | May 21, 2007 |
| St. Joseph's Hospital and Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Apr 5, 2007 |
| St Joseph's Hospital and Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 12, 1986 |
| St. John's Hospital Camarillo | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jul 23, 2007 |
| St Johns Regional Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 12, 1986 |
| Dominican Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Nov 2, 2007 Nov 2, 2007 |
| Dominican Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Nov 2, 2007 |
| Sierra Nevada Memorial Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Feb 20, 1996 |
| Mercy Medical Center Redding | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Nov 23, 2007 Nov 23, 2007 |
| UCSF Health Community Hospitals | Hospital | Operational/Managerial Control | Feb 1, 2019 |
| Marian Regional Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Dec 17, 2007 Dec 17, 2007 |
| St. Elizabeth Community Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Mar 1, 1995 Feb 1, 2019 |
| St. Elizabeth Community Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Mar 19, 2008 Mar 19, 2008 |
| Mercy Gilbert Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jun 5, 2006 Feb 1, 2019 |
| Mark Twain Medical Center | Hospital | Other | Jun 1, 2000 |
| Mercy General Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 12, 1986 |
| Community Hospital of San Bernardino | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Aug 13, 1998 |
| St Mary Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
May 30, 1996 May 30, 1996 |
| San Bernardino Community Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Aug 13, 1998 |
| Mercy Medical Center Mt Shasta Swing | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Dec 12, 1986 Feb 1, 2019 |
| St. Mary Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 31, 2001 |
| Marian Regional Medical Center, Arroyo Grande | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Dec 17, 2007 Dec 17, 2007 |
| Dignity Health Arizona General Hospital | Hospital | Other | Feb 1, 2019 |
| St Josephs Behavioral Health Center | Hospital | 5% Or Greater Direct Ownership Interest (80%) Operational/Managerial Control (80%) |
May 1, 2016 May 1, 2016 |
| St Josephs Medical Center of Stockton | Hospital | 5% Or Greater Indirect Ownership Interest (80%) | Jun 1, 2016 |
| Dignity Health East Valley Rehabilitation Hospital | Hospital | 5% Or Greater Direct Ownership Interest (40%) | Apr 29, 2015 |
| Dignity Health Arizona General Hospital | Hospital | Other | Feb 1, 2019 |
| Dignity Health St Rose Dominican North Las Vegas Campus | Hospital | 5% Or Greater Indirect Ownership Interest (51%) | May 5, 2016 |
| Mark Twain Medical Center | Hospital | Operational/Managerial Control Other |
Feb 1, 2019 Feb 1, 2019 |
| Woodland Memorial Hospital | Hospital | Other | Feb 1, 2019 |
| French Hospital Medical Center | Hospital | Other | Feb 1, 2019 |
| Glendale Memorial Hospital and Health Center | Hospital | Other | Feb 1, 2019 |
| Glendale Memorial Hospital and Health Center | Hospital | Other | Feb 1, 2019 |
| Glendale Memorial Hospital and Health Center | Hospital | Operational/Managerial Control (100%) | Feb 1, 2019 |
| Chandler Regional Medical Center | Hospital | Other | Feb 1, 2019 |
| Sequoia Hospital | Hospital | Other | Feb 1, 2019 |
| Northridge Hospital Medical Center | Hospital | Other | Feb 1, 2019 |
| Northridge Hospital Medical Center | Hospital | Other | Feb 1, 2019 |
| California Hospital Medical Center | Hospital | Operational/Managerial Control (50%) | Feb 1, 2019 |
| Methodist Hospital of Sacramento | Hospital | Other | Feb 1, 2019 |
| Woodland Memorial Hospital | Hospital | Other | Feb 1, 2019 |
| Dignity Health Rehabilitation Hospital | Hospital | 5% Or Greater Direct Ownership Interest (49%) | Apr 23, 2019 |
| Dignity Health East Valley Rehabilitation Hospital-Gilbert | Hospital | 5% Or Greater Direct Ownership Interest (40%) | Dec 6, 2022 |
| St. John¿S Hospital Camarillo DP/SNF | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 19, 1993 |
| Marian Regional Medical Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 31, 2001 |
| Community Hospital of San Bernardino | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Aug 13, 1998 |
| Community Convalescent Center of San Bernardino | Skilled nursing facility | Other | Feb 1, 2019 |
| Methodist Hospital of Sacramento - Bruceville Terrace | Skilled nursing facility | Other | Feb 1, 2019 |
| Mercy Home Health | Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2012 |
| Mercy Home Care | Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2001 |
| Dignity Health Home Health | Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2001 |
| Mercy Memorial Home Health | Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Mar 24, 2008 |
| Mercy Home Care | Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Jan 17, 2012 |
| St. Elizabeth Community Hospital HHA | Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 1995 |
| St Josephs Medical Center Home Health | Home health agency | 5% Or Greater Indirect Ownership Interest (80%) | Jun 1, 2016 |
| Dignity Health at Home, LLC | Home health agency | 5% Or Greater Direct Ownership Interest (50%) | Oct 29, 2018 |
| Woodland Healthcare Home Health | Home health agency | Other | Feb 1, 2019 |
| Mercy Hospice | Hospice | 5% Or Greater Direct Ownership Interest (100%) | Jan 18, 2008 |
| Dignity Health Hospice | Hospice | 5% Or Greater Direct Ownership Interest (100%) | Mar 17, 2008 |
| Mercy Hospice - Mt. Shasta | Hospice | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2000 |
| Mercy Hospice | Hospice | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 1995 |
| Family Care Clinic | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
May 30, 1996 Jun 12, 2007 |
| Family Medical Center - San Andreas | Rural health clinic | Other | Jun 1, 2000 |
| Mercy Medical Center Mt Shasta | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jan 31, 2010 Feb 1, 2019 |
| James Dalton Medical Office | Rural health clinic | Other | Jun 1, 2000 |
| Family Medical Center - Arnold | Rural health clinic | Other | Jun 1, 2000 |
| Family Medical Center-Copperopolis | Rural health clinic | Other | Jun 1, 2000 |
| Mercy Medical Center Mt Shasta | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Dec 12, 1986 Feb 1, 2019 |
| Mercy Medical Center Mt. Shasta | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Dec 31, 2001 Feb 1, 2019 |
| Dignity Health Solano Street Medical Clinic | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Dec 31, 2001 Dec 31, 2001 |
| Dignity Health Lassen Medical Clinic - Cottonwood | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Dec 31, 2001 Dec 31, 2001 |
| Dignity Health Lassen Medical Clinic - Red Bluff | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Dec 31, 2001 Dec 31, 2001 |
| Dignity Health Women's Health Services | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Dec 31, 2001 Apr 23, 2017 |
Facilities with the same owner 52
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Dignity Health-St. Rose Dominican North Las Vegas Campus
- General Acute Care Hospital
- North Las Vegas, NV
- NPI 1578007514
Dignity Health
-
dba St. Rose Dominican Hospital, Rose de Lima Campus
- General Acute Care Hospital
- Henderson, NV
- NPI 1447393152
Dignity Health
-
dba St. Rose Dominican Hospital, San Martin Campus
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1528101284
Dignity Health
-
dba Dignity Health Rehabilitation Hospital
- Rehabilitation Hospital
- Henderson, NV
- NPI 1952866634
Dignity Health
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1396745832
Dignity Health
-
- General Acute Care Hospital
- San Bernardino, CA
- NPI 1235290818
Dignity Health
-
dba California Hospital Medical Center - Los Angeles
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1114081056
Dignity Health
-
dba Glendale Memorial Hospital and Health Center
- General Acute Care Hospital
- Glendale, CA
- NPI 1477610640
Dignity Health
-
dba St. John's Regional Medical Center
- General Acute Care Hospital
- Oxnard, CA
- NPI 1073665360
Dignity Health
-
dba St. Elizabeth Community Hospital
- General Acute Care Hospital
- Red Bluff, CA
- NPI 1083732853
Dignity Health
-
dba Mercy Hospital
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1104981661
Dignity Health
Practitioners & affiliated clinicians
Practitioners 487
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.
-
- Adult Health Nurse Practitioner
- Henderson, NV
- NPI 1659450641
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1609109644
-
- Gastroenterology Physician
- Las Vegas, NV
- NPI 1942509492
-
- Pediatrics Physician
- Pahrump, NV
- NPI 1497732093
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1770223968
-
- Family Nurse Practitioner
- Las Vegas, NV
- NPI 1528685005
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1821592304
-
- Family Medicine Physician
- Henderson, NV
- NPI 1942644760
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Las Vegas, NV
- NPI 1740455229
-
- Pediatric Endocrinology Physician
- Henderson, NV
- NPI 1336316421
-
- Primary Care Nurse Practitioner
- Las Vegas, NV
- NPI 1336836386
-
- Family Medicine Physician
- Henderson, NV
- NPI 1558350827
Affiliated clinicians 584
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Hospitalist Physician
- Las Vegas, NV
- NPI 1306578448
-
- Certified Registered Nurse Anesthetist
- Las Vegas, NV
- NPI 1871030932
Hospital
-
- Hospitalist Physician
- Reno, NV
- NPI 1366804106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750204800000",
"number": "1770626426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3033 N 3RD AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850134447",
"telephone_number": "858-275-8112",
"fax_number": "779-803-8118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 SAINT ROSE PKWY",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890523839",
"telephone_number": "858-275-8112",
"fax_number": "779-803-8118"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIGNITY HEALTH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DIGNITY HEALTH",
"enumeration_date": "2007-02-14",
"last_updated": "2025-06-18",
"certification_date": "2025-06-18",
"status": "A",
"authorized_official_last_name": "MORISSETTE",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "858-275-8112"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "NV",
"license": "2969HOS10",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IRS",
"identifier": "880455713",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1202300",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE CHAMPUS",
"identifier": "880455713890520000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR",
"identifier": "191301000",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1002300",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2307549",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELF",
"identifier": "CC0272",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1102300",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "St. Rose Dominican Hospital, Siena Campus",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Henderson, NV
- Elizabeth Difilippo
- Kimberly Erin Difillippo, PA-C
- Milena E Difiore
- Dignity Health (St. Rose Dominican Hospital, Rose de Lima Campus)
- Dignity Health (Dignity Health St. Rose Specialty Clinics)
- Dignity Health Medical Group Nevada LLC
- Dignity Health Medical Group Nevada LLC
- Dignity Health Medical Group Nevada LLC
- Dignity Health Medical Group Nevada LLC
- Dignity Health Medical Group Nevada, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.