St. Joseph Health Northern California, LLC
Organization Active NPI General Acute Care Hospital · Eureka, CA
NPI 1891900635 · NPPES record last updated May 8, 2025
Key facts
- NPI
- 1891900635
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 010000075 (CA)
- Legal business name
- ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC
- Practice address
- 2700 Dolbeer St
Eureka, CA 95501 - Phone
- (707) 445-8121
- Fax
- (707) 269-3897
- NPI assigned
- May 14, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- ST. JOSEPH HEALTH SYSTEM
Authorized official
- Name
- Donald Wayne Anderson Jr.
- Title
- Assistant Secretary of Enrollments
- Phone
- (425) 358-9786
Owners & managing parties with NPI records 10
-
John Aryanpur, M.D.
Owned or controlled facilities with NPI records 21
Other NPIs on the same Medicare enrollment 2
Other NPIs with the same Medicare PAC ID 8
Corporate family (same tax ID) 20
Facilities with the same owner 139
Practitioners 10
-
Deji Akinlosotu, CRNA
-
Emily R Berg, CRNA
-
Daniel Alan Heyn, MD
-
Lynn Rivers, CRNA
-
Rodney M Swenson, D.O.
-
Kristyn Thurmond, LMFT
-
Barbara Marie Zimmer, CRNA
Affiliated clinicians 504
-
Shahram Abbassi, MD
-
Abdul Said Fazel Abdali, M.D.
-
Igor Z Abolnik, MD
-
Kimberlee Adams, NP
-
Deji Akinlosotu, CRNA
-
Amy Alfano, CNM, WHNP-BC
-
Mujeeb Altaf, MBBS.,MRCP(UK)
-
Edwin A Alvarez, M.D.
-
Mya Ashlyn Alves, PA-C
-
Philip Alway, DPM
-
Tiffany Alway, DPM
-
Nathan S Anderson, M.D.
-
Theresa Anderson, N.P.
-
John Aryanpur, M.D.
Medicare Care Compare: Hospital
- Listed as
- Providence St Joseph Hospital
- Overall star rating
- ★★★★☆ 4 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Hospital certification: CCN 050006
- Legal name
- ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC
- Doing business as
- PROVIDENCE ST. JOSEPH HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- May 2, 2025
- Beds
- 140
- Ownership / control type
- Private (not for profit)
- Most recent change of ownership
- Apr 1, 2018 (2 total)
- Organization structure
- LLC · Non-profit
- Incorporated
- Oct 27, 2016 in CA
- Enrollment address
- 2700 Dolbeer St
Eureka, CA 95501-4736 - Hospital subgroups
- Acute care, Rehabilitation unit
All disclosed owners & managing parties 19
| Name | Role | Since | Share |
|---|---|---|---|
| James C Devore |
Corporate Director |
Jan 1, 2018 | |
| Oluyemi Adeyanju |
Corporate Officer |
Apr 1, 2018 | |
| W-2 Managing Employee | Jul 8, 2022 | ||
| Judith L Coffey |
Corporate Director |
May 26, 2021 | |
| Mary Bernadette McNulty |
Corporate Director |
Apr 1, 2018 | |
| Timothy Herman |
Corporate Director |
Mar 20, 2021 | |
| Providence Health & Services - Washington |
Operational/Managerial Control | Oct 1, 2020 | |
| John Aryanpur |
Corporate Director |
Jan 1, 2020 | |
| Conrad Hewitt |
Corporate Director |
Apr 1, 2018 | |
| Donald Wayne Anderson |
Corporate Officer |
Apr 1, 2018 | |
| Keith Flamer |
Corporate Director |
Nov 28, 2023 | |
| Gregory David Hoffman |
Corporate Officer |
Oct 1, 2020 | |
| Nathan Reinert Husmann |
Corporate Officer |
Apr 28, 2023 | |
| Jed Weissberg |
Corporate Director |
May 26, 2021 | |
| St. Joseph Health System |
Other | Apr 1, 2018 | |
| Laureen T Driscoll |
Corporate Officer |
Jan 25, 2022 | |
| Pamela a Kindig |
Corporate Director |
Jan 1, 2020 | |
| St Joseph Health Northern California LLC |
5% Or Greater Direct Ownership Interest | Apr 1, 2011 | 100% |
| Ariel U Kelley |
Corporate Director |
Jun 16, 2022 | |
| Providence St. Joseph Health |
Other | Apr 1, 2018 |
All facility ownership & control disclosures 15
| Facility | Type | Role | Since |
|---|---|---|---|
| Providence Redwood Memorial Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2018 |
| Providence Queen of the Valley Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2018 |
| Providence Redwood Memorial Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2018 |
| Providence Queen of the Valley Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2018 |
| Providence Santa Rosa Memorial Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2018 |
| Providence Santa Rosa Memorial Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2018 |
| Petaluma Valley Hospital |
Hospital | Operational/Managerial Control | Jan 1, 2021 |
| Healdsburg Hospital |
Hospital | Operational/Managerial Control | Jan 1, 2021 |
| Healdsburg Hospital |
Hospital | Operational/Managerial Control | Jan 1, 2021 |
| Healdsburg Hospital |
Skilled nursing facility | Operational/Managerial Control | Jan 1, 2021 |
| Providence Home Health Sonoma |
Home health agency | Other | Apr 1, 2018 |
| Providence Home Health Humboldt |
Home health agency | Operational/Managerial Control | Apr 1, 2018 |
| Providence Hospice Napa Valley |
Hospice | Other | Jun 1, 2020 |
| Providence Hospice Sonoma County |
Hospice | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2018 |
| Providence Family Practice |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2018 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180219002015 | CA | Part a Provider - Hospital | 8921374562 |
2 other NPIs on this enrollment Practice locations: Eureka, CA |
National Provider Directory
- Tax ID family
- St Joseph Health Northern California LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 010000075 | CA | Yes |
Addresses
Primary practice location
2700 Dolbeer St
Eureka, CA 95501
Mailing address
PO Box 31001-3059
Pasadena, CA 91110-3059
Phone (707) 445-8121
Other practice location 1
2200 Harrison Ave
Eureka, CA 95501-3215
Phone (707) 441-4454
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HSP-40006F | Medicaid | CA | |
| 1891900635 | Medicaid | CA |
Other names
- Providence St. Joseph Hospital
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | marie.sorci@stjoe.org |
Other providers in Eureka, CA
- Anne St Clair
- Rachael St. Denis
- St. Joseph Health Northern California, LLC
- St. Joseph Health Northern California, LLC
- St. Joseph Health Northern California, LLC
- St. Joseph Home Care Network
- St. Joseph Home Care Network
- Simon Oliver Stampe
- Stanislaus County
- Deanna Stanley
All providers in Eureka, CA · General Acute Care 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 May 8, 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.