The VA Sierra Pacific Network (VISN 21) is one of 18 Veterans Integrated Service Networks (VISNs) in the Veterans Health Administration (VHA). The Network serves Veterans in northern and central California, Nevada, Hawaii, the Philippines and U.S. Territories in the Pacific Basin. With a total of 67 sites of care, VISN 21 provides a continuum of comprehensive health care services through seven VA Medical Centers, nine co-located Community Living Centers and 41 Community Based Outpatient Clinics (CBOCs).