St. Helena Hospital
Organization Active NPI Psychiatric Hospital · Vallejo, CA
NPI 1851381990 · NPPES record last updated Sep 30, 2025
Key facts
- NPI
- 1851381990
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric Hospital 283Q00000X
- Legal business name
- ST. HELENA HOSPITAL
- Practice address
- 525 Oregon St
Vallejo, CA 94590-3201 - Phone
- (707) 648-2200
- Fax
- (707) 963-6461
- NPI assigned
- Oct 27, 2005
- Organization subpart
- Yes
- Parent organization (as reported)
- ST. HELENA HOSPITAL
Authorized official
- Name
- Dr. Steven Herber, M.D.
- Title
- Ceo
- Phone
- (707) 963-3611
Owners & managing parties with NPI records 2
-
Kenneth Jutzy, M.D.
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 1
Facilities with the same owner 105
Practitioners 140
-
Stephen J Banks, MD
-
Matthew Audet Cain, M.D.
-
Lindsey T Canavesio, ACNP
-
David P Carelock, CRNA
-
Jack L Chen, M.D.
-
Amizetta Carol Clark, M.D.
-
Leonardo C. Clavijo, M.D.
-
Raymond F. Conway III, M.D.
-
Mark W Deseran, MD
-
John Nicholas Diana, M.D.
-
Maia Eng, M.D.
-
Michael Horst Feddersen, D.O.
-
Jennifer D.K. Fidge, CRNA
-
Alicia Kay Florez, FNP-BC
-
Brian D. Freeto, M.D.
-
Tami S Glenn, CRNA
-
William V Glenn, MD
-
Brandi Bailey Harris, CRNA
-
Jehan Fouad Helmi, M.D.
-
Lea Hetland, RN, CRNA
-
David Bruce Jackson, M.D.
-
Manminder Singh Johal, CRNA
-
Tyler Yu-Tai Kang, M.D.
Medicare Care Compare: Hospital
- Listed as
- Adventist Health Vallejo
- Type
- Psychiatric
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- No
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2299086 | Adventist Health Vallejo | Certificate of waiver | Feb 12, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA
Hospital certification: CCN 054074
- Legal name
- ST. HELENA HOSPITAL
- Doing business as
- ADVENTIST HEALTH VALLEJO
- Certification status
- Active
- Provider type (POS)
- Hospital – Psychiatric
- Participating since
- Apr 26, 1984
- Last certification
- Feb 13, 2025
- Beds
- 61
- Ownership / control type
- Private (not for profit)
- Most recent change of ownership
- Nov 1, 1997 (1 total)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Nov 1, 1997 in CA
- Enrollment address
- 525 Oregon St
Vallejo, CA 94590-3201 - Hospital subgroups
- Psychiatric
All disclosed owners & managing parties 19
| Name | Role | Since | Share |
|---|---|---|---|
| Kerry L Heinrich |
Corporate Director |
Dec 16, 2014 | |
| John H Cress |
Corporate Director |
Oct 1, 2024 | |
| Meredith S Jobe |
Corporate Officer |
Mar 31, 2014 | |
| Eric a Stevens |
Corporate Officer |
Mar 25, 2025 | |
| Richard K Reiner |
Corporate Director | Jan 16, 2017 | |
| Joy a. Fehr |
Corporate Director |
Oct 1, 2020 | |
| Jonathan J Daggett |
Corporate Director | Oct 1, 2020 | |
| Andrew R Davis |
Corporate Director |
May 5, 2017 | |
| Ann K Beckett |
Corporate Director | Oct 1, 2020 | |
| Marc K Woodson |
Corporate Director |
Jan 1, 2019 | |
| John C Freedman |
Corporate Director |
Sep 26, 2016 | |
| Jeffrey R Mock |
Corporate Officer |
Sep 18, 2023 | |
| Jack W Wagner |
Corporate Director | Dec 1, 2022 | |
| Kenneth Jutzy |
Corporate Director | Oct 1, 2020 | |
| Bradford C Newton |
Corporate Director | Aug 16, 2021 | |
| Robert a Cherry |
Corporate Director |
May 5, 2017 | |
| Larry L Innocent |
Corporate Director |
Jun 1, 2015 | |
| Steven C Herber |
Corporate Officer |
May 15, 2014 | |
| W-2 Managing Employee |
May 15, 2014 | ||
| Adventist Health System/West |
Operational/Managerial Control | Jun 16, 1980 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040803001176 | CA | Part B Supplier - Clinic/Group Practice | 8729059878 |
Receives reassigned benefits from 137 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Saint Helena, CA; Vallejo, CA |
| O20050524000585 | CA | Part a Provider - Hospital | 8729059878 | Practice locations: Vallejo, CA |
National Provider Directory
- Tax ID family
- St Helena HSP Pathology
- Part of
- St Helena HSP Pathology
Locations
18990 Coyote Valley Rd
Ste 11
Hidden Valley Lake, CA 95467
Phone (707) 987-9047
1030 Main St
Ste 100
Saint Helena, CA 94574
Phone (707) 967-9901
999 Adams St
Ste 106B
Saint Helena, CA 94574
821 Saint Helena Hwy S
#204
Saint Helena, CA 94574
27 Woodland Rd
Saint Helena, CA 94574
Phone (707) 967-5770
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | Yes |
Addresses
Primary practice location
525 Oregon St
Vallejo, CA 94590-3201
Mailing address
525 Oregon St
Vallejo, CA 94590-3201
Phone (707) 648-2200
Other names
- Adventist Health Vallejo
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Bluemark LLC / Office Ally |
Other providers in Vallejo, CA
- Suzanne Elizabeth Spillner
- Kaela Nicole Spinks
- Christopher Sproul
- Champa Sreenivas
- Hannah Stark St. Francis
- Katherine Ann Stafford
- Ashanti A Stamps
- Jennifer Kalika Stanger
- Stanislaus County
- Ryan Richard Stanton
All providers in Vallejo, CA · Psychiatric Hospital in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.