Community Memorial Health System
Organization Active NPI Critical Access Hospital · Ojai, CA
NPI 1992876767 · NPPES record last updated Apr 17, 2024
Key facts
- NPI
- 1992876767
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- Legal business name
- COMMUNITY MEMORIAL HEALTH SYSTEM
- Practice address
- 1306 Maricopa Hwy
Ojai, CA 93023-3131 - Phone
- (805) 646-1401
- NPI assigned
- Nov 13, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- COMMUNITY MEMORIAL HEALTH SYSTEM
Authorized official
- Name
- Mr. Michael Zdeblick
- Title
- President & Ceo
- Phone
- (805) 652-5001
Owners & managing parties with NPI records 4
-
Deborah Carlson, M.D.
-
Catherine Dixon Ferguson, M.D.
Owned or controlled facilities with NPI records 11
Other NPIs on the same Medicare enrollment 21
Other NPIs with the same Medicare PAC ID 6
Practitioners 198
-
David Wayne Crownover, MD, DC
-
Rikk Lynn, M.D.
-
Karlos Z. Oregel, M.D.
-
Rosalie Navarro Patricio, M.D.
-
Rebecca Stephens, MD
-
Kristine Supple, PA
-
Lisa E Acosta-Erickson, LCSW
-
Ralph Andrew Akl, DO
-
Simon Akl, D.O.
-
Melissa Hansen Ambrosio, PA-C
-
Marc A Beaghler, M.D.
-
Robert Jordan Bernstein, M.D.
-
Thomas Michael Brugman, M.D.
-
Chastity Q Burchuk, DNP, CNM, WHNP-BC
-
John Ross Burge, D.O.
-
Veronica W Butler, M.D.
-
Liliana Camacho, PA-C
-
Christine Camara, P.A.
-
Khozema Hatim Campwala, MD., MPH
Affiliated clinicians 224
-
James Ahern, MD
-
Simon Akl, D.O.
-
Melissa Hansen Ambrosio, PA-C
-
Amir Arfaei, MD
-
Preston Arndt, M.D.
-
Lisa Louise Babashoff, M.D.
-
Wallace Baker, MD
-
Jeffrey Barrett, M.D.
-
Brad David Barrows, D.O.
-
Marc A Beaghler, M.D.
-
James Todd Beaty, D.P.M
-
Robert Jordan Bernstein, M.D.
-
Helmuth Billy, M.D.
-
Marlon Dean Black, M.D.
-
John Ross Burge, D.O.
-
Khozema Hatim Campwala, MD., MPH
-
Deborah Carlson, M.D.
Medicare Care Compare: Hospital
- Listed as
- Community Memorial Hospital - Ojai
- Type
- Critical Access Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in CA
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
- Corporation · Non-profit
- Incorporated
- Apr 13, 1933 in CA
- Enrollment address
- 1306 Maricopa Highway
Ojai, CA 93023-3131
Hospital certification: CCN 05Z334
- Legal name
- COMMUNITY MEMORIAL HEALTH SYSTEM
- Doing business as
- OJAI VALLEY COMMUNITY HOSPTIAL
- Organization structure
- Corporation · Non-profit
- Incorporated
- Apr 13, 1933 in CA
- Enrollment address
- 1306 Maricopa Highway
Ojai, CA 93023-3131
All disclosed owners & managing parties 23
| Name | Role | Since | Share |
|---|---|---|---|
| Jeffrey C Brackett |
Corporate Director |
Nov 1, 2017 | |
| Corporate Director | Nov 1, 2017 | ||
| Deborah E Carlson |
Corporate Director |
Jan 1, 2019 | |
| Corporate Director | Jan 1, 2019 | ||
| William J Kearney |
Corporate Director |
Feb 28, 2012 | |
| Martin a Pops |
Corporate Director |
Apr 26, 2005 | |
| Jeffrey D Paul |
Corporate Director |
Jun 24, 2008 | |
| Celina Zacarias |
Corporate Director |
Jan 1, 2021 | |
| Corporate Director | Jan 1, 2021 | ||
| Gary Wilde |
Corporate Officer |
Apr 5, 2004 | |
| W-2 Managing Employee |
Apr 5, 2004 | ||
| Corporate Officer |
Apr 5, 2004 | ||
| W-2 Managing Employee |
Apr 5, 2004 | ||
| Miranda Margetts |
Corporate Director |
Jan 1, 2021 | |
| Corporate Director | Jan 1, 2021 | ||
| Lydia Hopps |
Corporate Director | Nov 1, 2017 | |
| Christopher D Johnson |
Corporate Director | Jan 1, 2021 | |
| Jeffrey W Loebl |
Corporate Director |
Jan 1, 2021 | |
| Corporate Director | Jan 1, 2021 | ||
| Gary L Wolfe |
Corporate Director |
Oct 30, 1979 | |
| Judith H Norris |
Corporate Director |
Jan 1, 2021 | |
| Corporate Director | Jan 1, 2021 | ||
| David Fukutomi |
Corporate Director | Nov 1, 2017 | |
| Richard R Rush |
Corporate Director |
Jul 27, 2010 | |
| Elizabeth H Pavlov |
Corporate Director |
Jan 1, 2021 | |
| Corporate Director | Jan 1, 2021 | ||
| Haady Lashkari |
Corporate Officer |
Oct 30, 2001 | |
| W-2 Managing Employee |
Oct 30, 2001 | ||
| Corporate Officer |
Oct 30, 2004 | ||
| W-2 Managing Employee |
Oct 30, 2001 | ||
| John J Hammer |
Corporate Director |
Feb 26, 1991 | |
| Michael D Bradbury |
Corporate Director |
May 28, 1996 | |
| Catherine Dixon Ferguson |
Corporate Director | Jan 1, 2021 | |
| Timothy J Gallagher |
Corporate Director |
May 31, 2005 | |
| Frederick T Muegenburg |
Corporate Director |
Jun 24, 1980 | |
| Linda Pettit |
Corporate Director | Jan 1, 2021 |
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Community Memorial Hospital - Ventura |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1966 |
| Community Memorial Continuing Care Center |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Aug 1, 2005 Mar 4, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Part of
- Community Pharmacy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | |||
| Critical Access Hospital | 282NC0060X | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05Z334 | Other | CA | MEDICARE OSCAR SWING BED |
| ZZZA5603Z | Other | CA | BLUE SHIELD |
| ZZZA5609Z | Other | CA | BLUE SHIELD PROVIDER NO |
| 050394 | Other | CA | BLUE CROSS PROVIDER NO |
| HSC30046L | Medicaid | CA | |
| HSP40046L | Medicaid | CA | |
| ZZZ53994Z | Other | CA | BLUE SHIELD |
Other names
- Community Memorial Hospital - Ojai
- Ojai Valley Community Hospital
Other providers in Ojai, CA
- Community Memorial Health System
- Community Memorial Health System
- Community Memorial Health System
- Community Memorial Health System
- Community Memorial Health System
- Linda Conrad
- Caroline Grace Corcoran
- Rylee Corpuz
- Kevin Keith Cox
- Bronwen Marie Cull
All providers in Ojai, CA · Critical Access 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 Apr 17, 2024. 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.