ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC – NPI #1043292303
General Acute Care Hospital

ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC is a general acute care hospital located in FORTUNA, CA. NPPES has assigned the NPI number 1043292303 to ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC on November 14, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 282NC0060X from the Health Care Provider Taxonomy code set, which is classified as General Acute Care Hospital, specializing in Critical Access

The NPI profile was last updated on May 14, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC below.

NPI Profile for
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC

NPI Number
1043292303
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC
Primary location
3300 RENNER DR
FORTUNA, CA 95540
Phone: (707) 725-3361 Fax: (707) 725-7212
Mailing address
PO BOX 31001-3059
PASADENA, CA 91110-3059
Phone: (707) 725-3361 Fax: (707) 725-7212
Organization Subpart
Yes - ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC is subpart of another organization.
Authorized Official
DONALD ANDERSON
ASSISTANT SECRETARY OF ENROLLMENTS
Phone: (425) 358-9786
Updated
Certification Date
May 14, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidCAZZR00172F
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
282NC0060X
- General Acute Care Hospital / Critical Access (Primary)		 CA 110000173

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.