VISN 21: Sierra Pacific Network - Locations
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VISN 21: Sierra Pacific Network

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391 Taylor Blvd., Suite 200
Pleasant Hill, CA 94523


The VA Sierra Pacific Network is one of 21 integrated health care networks in the Veterans Health Administration (VHA). Also known as Veterans Integrated Service Network 21 (VISN 21), our Network comprises seven major health care systems based in Honolulu, HI; Palo Alto, CA; San Francisco, CA; Sacramento, CA; Fresno, CA; Reno, NV, and Las Vegas, NV. Together these health care systems include 54 geographic sites of care to Veterans residing in northern Nevada, central and northern California, Hawaii and the vast Pacific Region (including Guam, American Samoa, the Commonwealth of the Northern Mariana Islands, and the Philippines). As Director of this dynamic and unique Network, it is my honor to share with you VISN 21 At a Glance – who we are, where we serve, and how we honor Veterans and their families.

VA Central California Health Care System (HCS), Fresno
VA Northern California HCS, Sacramento
VA Pacific Islands HCS, Honolulu
VA Palo Alto HCS, Palo Alto
VA Medical Center (VAMC), San Francisco
VA Sierra Nevada HCS, Reno
VA Regional Office/Outpatient Clinic (VARO/OC), Manila
VA Southern Nevada Healthcare System

VISN 21 is committed to ensuring that Veterans have full access to the highest quality of care, and that patients and staff alike have high levels of satisfaction. Currently we face one of the most challenging times in VA and must restore trust and faith in VA health care services. We will focus on providing Veterans timely access to quality care and include virtual modalities, rural health outreach, non-VA care contracts, and collaborations with community and federal partners. Our efforts align with the recently passed Veterans Access, Choice, and Accountability Act (VACAA) of 2014. To guide VA into the future and achieve the desired VACAA outcomes, Secretary Robert McDonald has developed the Blueprint for Excellence which focuses on improving performance, promoting a positive culture of service, advancing health care innovation for Veterans and the Country, and increasing operational effectiveness and accountability. VISN 21 will embrace the Blueprint for Excellence and incorporate its 10 strategies into our daily work. Our workforce is the cornerstone to VISN 21’s achievements and success, as well as navigating through these challenging times, and embracing opportunities to meet the needs of our Veterans and their families.