NPIMap

Organization Active NPI

Community Memorial Health System

Doing business as Community Memorial Hospital - Ojai

  • Critical Access Hospital
  • Ojai, CA
National Provider Identifier
1992876767
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
COMMUNITY MEMORIAL HEALTH SYSTEM
Doing business as
Community Memorial Hospital - Ojai
Practice address
1306 Maricopa Hwy
Ojai, CA 93023-3131
Phone
(805) 646-1401
NPI assigned
Nov 13, 2006
Last updated
Apr 17, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMUNITY MEMORIAL HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Authorized official

Name
Mr. Michael Zdeblick
Title
President & Ceo
Phone
(805) 652-5001

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X
Critical Access Hospital 282NC0060X Primary

Addresses

Primary practice location

1306 Maricopa Hwy
Ojai, CA 93023-3131

Mailing address

147 N Brent St
Ventura, CA 93003-2809
Phone (805) 652-5011

Other names 2

  • Community Memorial Hospital - Ojai Doing business as
  • Ojai Valley Community Hospital Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040422001668 CA Part B Supplier - Clinic/Group Practice 9537155676 Receives reassigned benefits from 274 practitioners
21 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ventura, CA; Port Hueneme, CA; Oxnard, CA; Camarillo, CA; Fillmore, CA; Ojai, CA
O20140814002634 CA Part A Provider - Critical Access Hospital 9537155676 Practice locations: Ojai, CA
O20140814002642 CA Part A Provider - Critical Access Hospital 9537155676 Practice locations: Ojai, CA

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1992876767. Details of each certification follow.

Hospital certification: CCN 051334

Legal name
COMMUNITY MEMORIAL HEALTH SYSTEM
Doing business as
OJAI VALLEY COMMUNITY HOSPTIAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Feb 19, 2014
Last certification
Jan 26, 2023
Beds
91
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Apr 13, 1933 in CA
Enrollment address
1306 Maricopa Highway
Ojai, CA 93023-3131
Other Hospital Practice Location

Hospital certification: CCN 05Z334

Legal name
COMMUNITY MEMORIAL HEALTH SYSTEM
Doing business as
OJAI VALLEY COMMUNITY HOSPTIAL
Organization structure
CorporationNon-profit
Incorporated
Apr 13, 1933 in CA
Enrollment address
1306 Maricopa Highway
Ojai, CA 93023-3131

Other NPIs with the same Medicare PAC ID 6

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

Other NPIs on the same Medicare enrollment 21

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 21

Care Compare: Hospital

Medicare Care Compare
Listed as
Community Memorial Hospital - OjaiCCN 051334 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Part of
Community Memorial HLTH

Locations

168 N Brent St
Ste 302
Ventura, CA 93003
Phone (805) 652-6373

Ownership & related parties

All disclosed owners & managing parties 23

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jeffrey C Brackett Individual Corporate DirectorTrustee Nov 1, 2017
Corporate Director Nov 1, 2017
Deborah E Carlson Individual Corporate DirectorTrustee Jan 1, 2019
Corporate Director Jan 1, 2019
William J Kearney Individual Corporate DirectorTrustee Feb 28, 2012
Martin a Pops Individual Corporate DirectorChair Apr 26, 2005
Jeffrey D Paul Individual Corporate DirectorTreasurer Jun 24, 2008
Celina Zacarias Individual Corporate DirectorTrustee Jan 1, 2021
Corporate Director Jan 1, 2021
Gary Wilde Individual Corporate OfficerPresident &Ceo Apr 5, 2004
W-2 Managing EmployeePresident &Ceo Apr 5, 2004
Corporate OfficerPresident & Ceo Apr 5, 2004
W-2 Managing EmployeePresident & Ceo Apr 5, 2004
Miranda Margetts Individual Corporate DirectorTrustee Jan 1, 2021
Corporate Director Jan 1, 2021
Lydia Hopps Individual Corporate Director Nov 1, 2017
Christopher D Johnson Individual Corporate Director Jan 1, 2021
Jeffrey W Loebl Individual Corporate DirectorTrustee Jan 1, 2021
Corporate Director Jan 1, 2021
Gary L Wolfe Individual Corporate DirectorTrustee Oct 30, 1979
Judith H Norris Individual Corporate DirectorTrustee Jan 1, 2021
Corporate Director Jan 1, 2021
David Fukutomi Individual Corporate Director Nov 1, 2017
Richard R Rush Individual Corporate DirectorTrustee Jul 27, 2010
Elizabeth H Pavlov Individual Corporate DirectorTrustee Jan 1, 2021
Corporate Director Jan 1, 2021
Haady Lashkari Individual Corporate OfficerVP & Cao Oct 30, 2001
W-2 Managing EmployeeVP& Cao Oct 30, 2001
Corporate OfficerVP& Cao Oct 30, 2004
W-2 Managing EmployeeVP&Cao Oct 30, 2001
John J Hammer Individual Corporate DirectorTrustee Feb 26, 1991
Michael D Bradbury Individual Corporate DirectorTrustee May 28, 1996
Catherine Dixon Ferguson Individual Corporate Director Jan 1, 2021
Timothy J Gallagher Individual Corporate DirectorTrustee May 31, 2005
Frederick T Muegenburg Individual Corporate DirectorSecretary Jun 24, 1980
Linda Pettit Individual Corporate Director Jan 1, 2021

Owners & managing parties with NPI records 4

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

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Community Memorial Hospital - VenturaVentura, CA, CCN 050394 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Community Memorial Continuing Care CenterOjai, CA, CCN 056200 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 1, 2005
Mar 4, 2025

Owned or controlled facilities with NPI records 11

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

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

Affiliated clinicians 224

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

View all 224

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1992876767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 N BRENT ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032809",
            "telephone_number": "805-652-5011",
            "fax_number": "805-585-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 MARICOPA HWY",
            "city": "OJAI",
            "state": "CA",
            "postal_code": "930233131",
            "telephone_number": "805-646-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEMORIAL HEALTH SYSTEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY MEMORIAL HEALTH SYSTEM",
        "enumeration_date": "2006-11-13",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "ZDEBLICK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "805-652-5001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Memorial Hospital - Ojai",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ojai Valley Community Hospital",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Ojai Valley Community Hospital",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ojai, CA

Sources for this page

Verify at the official NPI Registry.