NPIMap

Organization Active NPI

Oak Valley Hospital District

Doing business as Oak Valley Care Center

  • Skilled Nursing Facility
  • Oakdale, CA
National Provider Identifier
1861533648
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
030000069 Issued in CA
Legal business name
OAK VALLEY HOSPITAL DISTRICT
Doing business as
Oak Valley Care Center
Practice address
275 S Oak Ave
Oakdale, CA 95361-3517
Phone
(209) 847-3011
Fax
(209) 848-4110
NPI assigned
Feb 12, 2007
Last updated
Dec 18, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
OAK VALLEY HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

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

Authorized official

Name
Ann Croskrey
Title
Chief Financial Officer
Phone
(209) 848-4104

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 030000069 CA Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 030000069 CA

Addresses

Primary practice location

275 S Oak Ave
Oakdale, CA 95361-3517

Mailing address

350 S Oak Ave
Oakdale, CA 95361-3519
Phone (209) 847-3011

Other identifiers 2

IdentifierTypeStateIssuer
ZZR06155GMedicaidCA
PHB376720MedicaidCA

Other names 1

  • Oak Valley Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070613000796 CA Part A Provider - Skilled Nursing Facility 5496736613 Practice locations: Oakdale, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861533648. Details of each certification follow.

Skilled nursing facility certification: CCN 056155

Legal name
OAK VALLEY HOSPITAL DISTRICT
Doing business as
OAKDALE NURSING & REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Feb 1, 1971
Last certification
Mar 22, 2025
Beds
115
Ownership / control type
Hospital District
Organization structure
GovernmentNon-profit
Incorporated
Jun 18, 1968 in CA
Enrollment address
275 S Oak Ave
Oakdale, CA 95361-3517
Nursing home name
OAKDALE NURSING AND REHABILITATION CENTER

Other NPIs with the same Medicare PAC ID 6

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Oakdale Nursing and Rehabilitation CenterCCN 056155 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Government - Hospital district
Certified
Feb 1, 1971
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11593.1 residents per day on average

Processed by Care Compare on Aug 1, 2026.

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
05D0714735Oak Valley Care Center275 S Oak Ave, Oakdale, CA 95361Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Oak Valley Port X Ray S9 organizations share this tax ID, including this one
Part of
Oak Valley Port X Ray S

Other organizations with this tax ID 8

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

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.

NameRoleSinceShare
James Teter Individual Corporate DirectorBoard Member Jul 30, 2007
John McCormick Individual Corporate OfficerCeo Nov 1, 2011 100%
Operational/Managerial ControlCeo Nov 1, 2011 100%
Frances Krieger Individual Corporate DirectorBoard Member Dec 2, 2022
Oak Valley Hospital District Organization, Oakdale, CA Operational/Managerial Control Nov 1, 2011
Daniel Cummins Individual Corporate DirectorBoard Member Nov 1, 2011
Louise Sanders Individual Corporate DirectorBoard Member Nov 1, 2011
Edward Chock Individual Corporate DirectorBoard Member Jul 30, 2007
William Stewart Pringle Individual Corporate DirectorVice President of Long Termcare Sep 12, 2022

Owners & managing parties with NPI records 7

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

All facility ownership & control disclosures 5

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

FacilityTypeRoleSince
Oak Valley District HospitalOakdale, CA, CCN 050067 Hospital Operational/Managerial Control (100%) Jun 18, 1968
Escalon Community Health ClinicEscalon, CA, CCN 058606 Rural health clinic Operational/Managerial Control (100%) Jun 18, 1968
Riverbank Community Health CenterRiverbank, CA, CCN 058528 Rural health clinic Operational/Managerial Control (100%) Jun 18, 1968
Oakdale Community Health CenterOakdale, CA, CCN 553978 Rural health clinic Operational/Managerial Control (100%) Jun 18, 1968
Waterford Community Health CenterWaterford, CA, CCN 058679 Rural health clinic Operational/Managerial Control (100%) Mar 23, 2023

Owned or controlled facilities with NPI records 5

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

Facilities with the same owner 5

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

Practitioners & affiliated clinicians

Affiliated clinicians 4

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

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608249600000",
    "number": "1861533648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S OAK AVE",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953613519",
            "telephone_number": "209-847-3011",
            "fax_number": "209-848-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 S OAK AVE",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953613517",
            "telephone_number": "209-847-3011",
            "fax_number": "209-848-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK VALLEY HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OAK VALLEY HOSPITAL DISTRICT",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A",
        "authorized_official_last_name": "CROSKREY",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "209-848-4104"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "030000069",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "CA",
            "license": "030000069",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR06155G",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHB376720",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Valley Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oak Valley Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakdale, CA

Sources for this page

Verify at the official NPI Registry.