Cross-source identifiers
Every current identifier attachment, with the link method and confidence carried verbatim — deterministic links are 1.000; probabilistic links surface their real matcher confidence, never rounded up.
| Scheme | Value | Source table | Link method | Confidence | Since | Provenance |
|---|---|---|---|---|---|---|
| npi | 1205443025 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1205443025","entity_type_code":"2"} |
| pecos_enrlmt_id | O20201225000004 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1205443025","rule":"D-PECOS","enrlmt_id":"O20201225000004"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← owns | JAMES DEVORE (CA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"01/01/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0345250130","source_pk":206320,"type_owner":"I","enrollment_id":"O20201225000004","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"NORCAL HEALTHCONNECT LLC"} |
| ← owns | OLUYEMI ADEYANJU | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"01/01/2021","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"0345515169","source_pk":206321,"type_owner":"I","enrollment_id":"O20201225000004","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"NORCAL HEALTHCONNECT LLC"} |
| ← owns | JUDITH L COFFEY | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"05/26/2021","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"0446335541","source_pk":206322,"type_owner":"I","enrollment_id":"O20201225000004","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"NORCAL HEALTHCONNECT LLC"} |
| ← owns | TROY A GIDEON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"42","association_date":"10/20/2023","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"0547608747","source_pk":206323,"type_owner":"I","enrollment_id":"O20201225000004","role_code_owner":"42","role_text_owner":"W-2 MANAGING EMPLOYEE","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"NORCAL HEALTHCONNECT LLC"} |
| ← owns | MARY BERNADETTE MCNULTY | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"01/01/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0749425650","source_pk":206324,"type_owner":"I","enrollment_id":"O20201225000004","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"NORCAL HEALTHCONNECT LLC"} |
| ← owns | JUDY WIDGER (CA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"25","association_date":"01/01/2021","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"1759363831","source_pk":206325,"type_owner":"I","enrollment_id":"O20201225000004","role_code_owner":"25","role_text_owner":"CONTRACTED MANAGING EMPLOYEE","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"NORCAL HEALTHCONNECT LLC"} |
| ← owns | NORCAL HEALTHCONNECT LLC (CA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"01/01/2021","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"2466864038","source_pk":206326,"type_owner":"O","enrollment_id":"O20201225000004","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"NORCAL HEALTHCONNECT LLC"} |
| ← owns | PROVIDENCE HEALTH & SERVICES - WASHINGTON (WA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"01/01/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2961311063","source_pk":206327,"type_owner":"O","enrollment_id":"O20201225000004","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"NORCAL HEALTHCONNECT LLC"} |
| ← owns | JOHN ARYANPUR (CA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"01/01/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3870569882","source_pk":206328,"type_owner":"I","enrollment_id":"O20201225000004","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"NORCAL HEALTHCONNECT LLC"} |
| ← owns | WESTERN HEALTHCONNECT (WA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"44","association_date":"01/01/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5193984813","source_pk":206329,"type_owner":"O","enrollment_id":"O20201225000004","role_code_owner":"44","role_text_owner":"OTHER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"NORCAL HEALTHCONNECT LLC"} |
| ← owns | CONRAD HEWITT | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"01/01/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5395980205","source_pk":206330,"type_owner":"I","enrollment_id":"O20201225000004","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"NORCAL HEALTHCONNECT LLC"} |
| ← owns | DONALD WAYNE ANDERSON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"01/01/2021","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"6305127655","source_pk":206331,"type_owner":"I","enrollment_id":"O20201225000004","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"NORCAL HEALTHCONNECT LLC"} |
| ← owns | KEITH FLAMER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"11/28/2023","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"6305200767","source_pk":206332,"type_owner":"I","enrollment_id":"O20201225000004","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"NORCAL HEALTHCONNECT LLC"} |
| ← owns | GREGORY DAVID HOFFMAN | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"01/21/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6507276508","source_pk":206333,"type_owner":"I","enrollment_id":"O20201225000004","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"NORCAL HEALTHCONNECT LLC"} |
| ← owns | NATHAN REINERT HUSMANN | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"04/28/2023","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"7012286545","source_pk":206334,"type_owner":"I","enrollment_id":"O20201225000004","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"NORCAL HEALTHCONNECT LLC"} |
| ← owns | JED WEISSBERG | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"05/26/2021","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"7113329624","source_pk":206335,"type_owner":"I","enrollment_id":"O20201225000004","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"NORCAL HEALTHCONNECT LLC"} |
| ← owns | ST. JOSEPH HEALTH SYSTEM (CA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"01/01/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7416867254","source_pk":206336,"type_owner":"O","enrollment_id":"O20201225000004","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"NORCAL HEALTHCONNECT LLC"} |
| ← owns | LAUREEN T DRISCOLL | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"01/25/2022","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"7618359415","source_pk":206337,"type_owner":"I","enrollment_id":"O20201225000004","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"NORCAL HEALTHCONNECT LLC"} |
| ← owns | BHARATHA B NAOTUNNE | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"42","association_date":"10/17/2022","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"8729457148","source_pk":206338,"type_owner":"I","enrollment_id":"O20201225000004","role_code_owner":"42","role_text_owner":"W-2 MANAGING EMPLOYEE","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"NORCAL HEALTHCONNECT LLC"} |
| ← owns | PAMELA A KINDIG | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"01/01/2020","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"8921243833","source_pk":206339,"type_owner":"I","enrollment_id":"O20201225000004","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"NORCAL HEALTHCONNECT LLC"} |
| ← owns | ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC (CA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"01/01/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8921374562","source_pk":206340,"type_owner":"O","enrollment_id":"O20201225000004","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"NORCAL HEALTHCONNECT LLC"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1205443025 JSON
| Metric | Value | Asserted | Source |
|---|---|---|---|
| dba_name | <UNAVAIL> | 2026-06-10 | Centers for Medicare & Medicaid ServicesNPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… claim API: JSON |
| enumeration_date | 2020-09-25 | 2026-06-10 | Centers for Medicare & Medicaid ServicesNPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… claim API: JSON |
| legal_business_name | NORCAL HEALTHCONNECT LLC | 2026-06-10 | Centers for Medicare & Medicaid ServicesNPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… claim API: JSON |
| practice_state | CA | 2026-06-10 | Centers for Medicare & Medicaid ServicesNPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… claim API: JSON |
| primary_taxonomy | 314000000X | 2026-06-10 | Centers for Medicare & Medicaid ServicesNPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… claim API: JSON |
Provider screening signals
NPI-keyed source families read directly for 1205443025: federal and state integrity lists, CMS Open Payments, Order and Referring eligibility, Medicare opt-out, and enrollment revalidation. Cells expose the source and provenance fields supplied by the selected record. A screening aid — re-confirm any match against the primary source before acting; absence means nothing on file in the data Fonteum currently holds, never a guarantee none exists.
Sanctions & integrity
Coverage staleExclusion coverage is stale or cannot be reconciled to an attested source artifact. This result is indeterminate and must not be treated as a clearance; check the current issuing-agency lists.
- Coverage status: indeterminate
- Screened 26 integrity lists; no negative determination was made.
14-tuple provenance (26)
Industry payments
None on file0 CMS Open Payments records on file for this NPI.
14-tuple provenance (1)
Order & referring eligibility
None on fileNo CMS Order and Referring record on file for this NPI.
14-tuple provenance (1)
Medicare opt-out
None on fileNo CMS Medicare opt-out affidavit on file for this NPI.
14-tuple provenance (1)
Revalidation
On file2 Medicare enrollment records on file.
- Earliest revalidation due: 2026-05-31
14-tuple provenance (1)
Point-in-time
Query retained claim coordinates under bitemporal-read/v1. Most facts have no superseded row; dates outside retained coverage may return no prior version, and diffs require both coordinates.
Pick a date to reconstruct, or two dates to diff. Equivalent JSON: /api/v1/history/{subject_type}/{subject_id}?at=… and …/diff?from=…&to=…