Active NPI
Dignity Health
Doing business as Mercy San Juan Medical Center
- General Acute Care Hospital
- Carmichael, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 030000063
- Legal business name
- DIGNITY HEALTH
- Doing business as
- Mercy San Juan Medical Center
- Practice address
- 6501 Coyle Ave
Carmichael, CA 95608-0306 - Phone
- (858) 275-8112
- Fax
- (779) 803-8118
- NPI assigned
- Jun 4, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| General Acute Care Hospital | 282N00000X | 030000063 | CA | Primary |
Addresses
Primary practice location
6501 Coyle Ave
Carmichael, CA 95608-0306
Mailing address
3215 Prospect Park Dr
Rancho Cordova, CA 95670-6017
Phone (858) 275-8112
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 942761692 | Other | IRS - PRE-MERGER TAX ID | |
| 196456501 | Other | CA | DEPT. OF LABOR - WC |
| CGP021540 | Medicaid | CA | |
| 942761692956080014 | Other | WPS TRICARE | |
| HSC00516F | Medicaid | CA | |
| HSC40516G | Other | CA | CMISP - TRAUMA |
| ZZR00516F | Medicaid | CA | |
| HSP40516F | Medicaid | CA | |
| ZZZA3403Z | Other | BLUE SHIELD OF CA |
Other names 1
- Mercy San Juan Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060613000213 | CA | Part A Provider - Hospital | 2062320559 | Practice locations: Carmichael, CA |
| O20070907000354 | CA | Part B Supplier - Clinic/Group Practice | 2062320559 |
Receives reassigned benefits from 28 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Long Beach, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1972541498. Details of each certification follow.
Hospital certification: CCN 050516
- Legal name
- DIGNITY HEALTH
- Doing business as
- MERCY SAN JUAN MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Feb 21, 1967
- Last certification
- May 1, 2025
- Beds
- 370
- Ownership / control type
- Private (not for profit)
- Most recent change of ownership
- Dec 31, 2005 (1 total)
- Organization structure
- Corporation
- Incorporated
- Oct 11, 1954 in CA
- Enrollment address
- 6501 Coyle Ave
Carmichael, CA 95608-0306 - Hospital subgroups
- General, Acute care
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba St. Mary Medical Center
- General Acute Care Hospital
- Long Beach, CA
- NPI 1194840421
O20070907000354
-
dba Mercy General Hospital
- General Acute Care Hospital
- Sacramento, CA
- NPI 1487694857
O20070907000354
-
dba Family Clinic of Long Beach
- Community Health Clinic/Center
- Long Beach, CA
- NPI 1962527390
O20070907000354
Care Compare: Hospital
Medicare Care Compare- Listed as
- Mercy San Juan Medical Center
- 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
5811 Jameson Ct
Carmichael, CA 95608
6555 Coyle Ave
Ste 301
Carmichael, CA 95608
Phone (916) 961-0258
6620 Coyle Ave
Ste 414
Carmichael, CA 95608
Phone (916) 961-7391
4917 Golden Foothill Pkwy
El Dorado Hills, CA 95762
Phone (916) 941-3800
6600 Mercy Ct
Ste 240
Fair Oaks, CA 95628
Phone (916) 863-1193
1620 Pennsylvania Ave
Ste B
Fairfield, CA 94533
Phone (707) 425-2002
14264 Innovation Dr
Folsom, CA 95630
Phone (858) 699-5653
107 Margaret Ln
Grass Valley, CA 95945
Phone (530) 247-9623
6135 King Rd
Ste A
Loomis, CA 95650
Phone (916) 652-0427
12555 W Jefferson Blvd
Ste 301
Los Angeles, CA 90066
Phone (424) 443-5555
5 Medical Plaza Dr
Ste 130
Roseville, CA 95661
Phone (916) 797-1222
5 Medical Plaza Dr
Ste 250
Roseville, CA 95661
Phone (916) 782-2229
588 N Sunrise Ave
Ste 120
Roseville, CA 95661
Phone (916) 206-3612
1508 Alhambra Blvd
Sacramento, CA 95816
Phone (916) 734-4575
2288 Auburn Blvd
Ste 104
Sacramento, CA 95821
2801 K St
Ste 200
Sacramento, CA 95816
Phone (916) 779-1160
3160 J St
Ste A
Sacramento, CA 95816
3840 Watt Ave
Bldg Stee
Sacramento, CA 95821
391 Howe Ave
Ste 150
Sacramento, CA 95825
Phone (916) 285-5300
3941 J St
Ste 350
Sacramento, CA 95819
Phone (916) 453-2500
650 Howe Ave
Ste 100
Sacramento, CA 95825
Phone (916) 469-9337
2299 Post St
Ste 206
San Francisco, CA 94115
Phone (415) 346-7505
23803 McBean Pkwy
#201
Valencia, CA 91355
Phone (661) 481-2400
1526 Plumas Ct
Ste 200
Yuba City, CA 95991
Ownership & related parties
All disclosed owners & managing parties 9
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 27, 2021 | ||
| Commonspirit Health | 5% Or Greater Direct Ownership Interest | Feb 1, 2019 | 100% |
| Operational/Managerial Control | Feb 1, 2019 | ||
| Scott Carswell | Corporate Director | Jan 27, 2021 | |
| Dignity Health | 5% Or Greater Direct Ownership Interest | Dec 12, 1986 | 100% |
| Daniel Morissette | Corporate Officer | Feb 1, 2019 | |
| Mitch Melfi | Corporate Officer | Jan 27, 2021 | |
| Corporate Director | Jan 27, 2021 | ||
| Elizabeth Shih | Corporate Officer | Feb 1, 2019 | |
| Corporate Director | Jan 27, 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 |
| St. Rose Dominican Hospital - Siena Campus | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jul 18, 2000 |
| 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 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.
-
- 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
-
dba Marian Extended Care
- Skilled Nursing Facility
- Santa Maria, CA
- NPI 1144358953
Dignity Health
-
dba St. Mary Medical Center
- General Acute Care Hospital
- Long Beach, CA
- NPI 1194840421
Dignity Health
-
dba Dignity Health Home Health
- Home Health Agency
- Santa Maria, CA
- NPI 1225184963
Dignity Health
-
dba Dignity Health Lassen Medical Clinic-Cottonwood
- Rural Health Clinic/Center
- Cottonwood, CA
- NPI 1235672403
Dignity Health
Practitioners & affiliated clinicians
Practitioners 457
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.
-
- Rheumatology Physician
- San Jose, CA
- NPI 1154455178
-
- Infectious Disease Physician
- Sacramento, CA
- NPI 1902039902
-
- Interventional Cardiology Physician
- Carmichael, CA
- NPI 1417263450
-
- Obstetrics & Gynecology Physician
- Carmichael, CA
- NPI 1205876760
-
- Hospitalist Physician
- Folsom, CA
- NPI 1952387953
-
- Cardiovascular Disease Physician
- Carmichael, CA
- NPI 1639305295
-
- Critical Care Medicine (Internal Medicine) Physician
- Roseville, CA
- NPI 1871531590
-
- Diagnostic Radiology Physician
- Sacramento, CA
- NPI 1083757132
-
- Orthopaedic Hand Surgery Physician
- Sacramento, CA
- NPI 1700876026
-
- Hospitalist Physician
- Sacramento, CA
- NPI 1598129264
-
- Allergy & Immunology Physician
- Sacramento, CA
- NPI 1083748685
-
- Family Medicine Physician
- Roseville, CA
- NPI 1740424480
Affiliated clinicians 487
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Hospitalist Physician
- Folsom, CA
- NPI 1952387953
-
- Vascular & Interventional Radiology Physician
- Rancho Cordova, CA
- NPI 1609008481
Hospital
-
- Hospitalist Physician
- Sacramento, CA
- NPI 1184263576
-
- Endocrinology, Diabetes & Metabolism Physician
- Elk Grove, CA
- NPI 1427234012
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750204800000",
"number": "1972541498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3215 PROSPECT PARK DR",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956706017",
"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": "6501 COYLE AVE",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956080306",
"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": "2006-06-04",
"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": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "CA",
"license": "030000063",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IRS - PRE-MERGER TAX ID",
"identifier": "942761692",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT. OF LABOR - WC",
"identifier": "196456501",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CGP021540",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WPS TRICARE",
"identifier": "942761692956080014",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HSC00516F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMISP - TRAUMA",
"identifier": "HSC40516G",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZR00516F",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HSP40516F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CA",
"identifier": "ZZZA3403Z",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mercy San Juan Medical Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Mercy San Juan Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Carmichael, CA
- Jacqueline Delphine Di Giacomo
- Albert Daniel Diamond
- Marisa Lee Dickfoss
- Coral Dickinson, LPCC
- Christian Jeremiah Digap
- Dignity Health Medical Foundation (Mercy Imaging Centers, a service of Dignity Health Medical Foundation)
- Tambralane Dill, COTA
- Michael Richard Dittrich, NP
- Tu DO, PHARM. D.
- Sydney Grier Dodd, FNP-C
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.