Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Jerry L. Pettis Va Memorial Hospital

Psychiatric Hospital in Riverside, CA · enumerated 2007 · authorized official Dean Stordahl, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629264775

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Registry record

Entity type Organization (Type 2)

Legal business name Jerry L. Pettis Va Memorial Hospital

Practice address 19845 San Luis Rey Ln, Riverside, CA, 92508

Phone (951) 653-7051

Enumeration date Sep 22, 2007

Last updated in NPPES Sep 22, 2007

Taxonomy & classification

283Q00000X Psychiatric Hospital Hospitals · License 219193 (CA) Primary

Authorized official

Name Dean Stordahl

Title Ceo

Phone (909) 825-7084

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Jerry L. Pettis Va Memorial Hospital?

Jerry L. Pettis Va Memorial Hospital is registered in NPPES as a Psychiatric Hospital (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-09-22.