Kaiser Foundation Hospitals
Organization Active NPI General Acute Care Hospital · San Diego, CA
NPI 1013062769 · NPPES record last updated Apr 20, 2021
Key facts
- NPI
- 1013062769
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 080000062 (CA)
- Legal business name
- KAISER FOUNDATION HOSPITALS
- Practice address
- 9455 Clairemont Mesa Blvd
San Diego, CA 92123-1297 - Phone
- (619) 528-5000
- NPI assigned
- Jan 24, 2007
- Organization subpart
- No
Authorized official
- Name
- Elizabeth J. Finley
- Title
- Senior Vice President, Area Manager
- Phone
- (619) 528-3390
Owners & managing parties with NPI records 1
Corporate family (same tax ID) 13
Facilities with the same owner 78
Affiliated clinicians 519
-
Ali Aboutaleb, MD
-
Farhana Ahmed, MD
-
Andrew Thomas Allen, M.D.
-
Francis Allinson, MD
-
Hasan Almohsen, MD
-
Juan Carlos Alvergue, M.D.
-
Vishar Himanshu Amin, M.D.
-
Samuel A Amukele, MD
-
Kathryn Anderson, MD
-
Andrew W Appis, M.D.
-
Mona Arasoghli, M.D.
-
Andy Brian Awwad, MD
-
Paul F. Balen, MD
-
Amit Balgude, MD
-
Sharmila Basu, M.D,
-
John Carbonell Bautista, M.D.
Medicare Care Compare: Hospital
- Listed as
- Kaiser Foundation Hospital - San Diego
- Overall star rating
- ★★★★☆ 4 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2127110 | Kaiser Foundation Hospital San Diego Laboratory | Accreditation | Feb 13, 2028 |
| 05D2128447 | Kaiser Foundation Hospital San Diego | Accreditation | Jan 30, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Hospital certification: CCN 050515
- Legal name
- KAISER FOUNDATION HOSPITALS
- Doing business as
- KAISER FOUNDATION HOSPITAL SAN DIEGO
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jan 1, 1967
- Last certification
- Mar 9, 2018
- Beds
- 659
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Feb 19, 1948 in CA
- Enrollment address
- 9455 Clairemont Mesa Blvd
San Diego, CA 92123-1297 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 16
| Name | Role | Since | Share |
|---|---|---|---|
| David J Barger |
Corporate Director |
May 1, 2017 | 100% |
| Margaret E Porfido |
Corporate Director |
Nov 1, 2011 | 100% |
| Richard P Shannon |
Corporate Director |
Jul 1, 2014 | 100% |
| Regina M Benjamin |
Corporate Director |
Jun 1, 2015 | 100% |
| Elizabeth J Finley |
Corporate Officer |
May 26, 2014 | 100% |
| W-2 Managing Employee |
May 26, 2014 | 100% | |
| Operational/Managerial Control |
May 26, 2014 | 100% | |
| Judith a Johansen |
Corporate Director |
Apr 1, 2006 | 100% |
| Cynthia a Telles |
Corporate Director |
Apr 24, 2003 | 100% |
| David F Hoffmeister |
Corporate Director |
Nov 1, 2014 | 100% |
| Kaiser Foundation Hospitals |
Operational/Managerial Control | Jul 13, 2009 | 100% |
| Arnold Eugene Washington |
Corporate Director |
Jan 4, 2016 | 100% |
| Julie Kim Miller-Phipps |
Corporate Officer |
Aug 15, 2016 | 100% |
| Jeffrey E Epstein |
Corporate Director |
Apr 1, 2013 | 100% |
| Ramon F Baez |
Corporate Director |
Jun 4, 2016 | 100% |
| Gregory a Adams |
Corporate Officer |
Nov 11, 2019 | 100% |
| Corporate Director |
Nov 11, 2019 | 100% | |
| Matthew T Ryan |
Corporate Director |
Jan 1, 2020 | 100% |
| Leslie S Heisz |
Corporate Director |
Jan 1, 2015 | 100% |
All facility ownership & control disclosures 79
| Facility | Type | Role | Since |
|---|---|---|---|
| Kaiser Sunnyside Medical Center |
Hospital | Operational/Managerial Control (100%) | Jan 5, 2007 |
| Kaiser Foundation Hospital - Santa Clara |
Hospital | Operational/Managerial Control (100%) | Jul 24, 2007 |
| Kaiser Foundation Hospital - Manteca |
Hospital | Operational/Managerial Control (100%) | Nov 1, 2004 |
| Kaiser Foundation Hospital Los Angeles |
Hospital | Operational/Managerial Control (100%) | Jul 1, 1966 |
| Kaiser Foundation Hospitals - Orange County - Anaheim |
Hospital | Operational/Managerial Control (100%) | May 1, 1979 |
| Kaiser Foundation Hospital - Antioch |
Hospital | Operational/Managerial Control (100%) | Apr 27, 2007 |
| Kaiser Foundation Hospital - Santa Rosa |
Hospital | Operational/Managerial Control (100%) | Apr 18, 1990 |
| Kaiser Foundation Hospital - Sacramento |
Hospital | Operational/Managerial Control (100%) | Jul 1, 1966 |
| Kaiser Foundation Hospital-Riverside |
Hospital | Operational/Managerial Control (100%) | Sep 11, 1989 |
| Kaiser Foundation Hospital Oakland Richmond |
Hospital | Operational/Managerial Control (100%) | Jan 1, 1966 |
| Kaiser Foundation Hospital San Jose |
Hospital | Operational/Managerial Control (100%) | Dec 1, 1976 |
| Kaiser Foundation Hospital - Moreno Valley |
Hospital | Operational/Managerial Control (100%) | Dec 18, 2008 |
| Kaiser Foundation Hospital - Vallejo |
Hospital | Operational/Managerial Control (100%) | Jan 1, 1966 |
| Kaiser Foundation Hospital - Vallejo |
Hospital | Operational/Managerial Control (100%) | Jan 1, 1966 |
| Kaiser Foundation Hospital Baldwin Park |
Hospital | Operational/Managerial Control | Feb 19, 1948 |
| Kaiser Foundation Hospital - Fontana |
Hospital | Operational/Managerial Control (100%) | Nov 2, 2007 |
| Kaiser Foundation Hospital-Downey |
Hospital | Operational/Managerial Control (100%) | Jan 1, 1966 |
| Kaiser Foundation Hospital Walnut Creek |
Hospital | Operational/Managerial Control | Jul 1, 1966 |
| Kaiser Foundation Hospital Woodland Hills |
Hospital | Operational/Managerial Control | Jan 1, 1966 |
| Kaiser Foundation Hospital Panorama City |
Hospital | Operational/Managerial Control | Jan 1, 1966 |
| Kaiser Foundation Hospital Fresno |
Hospital | Operational/Managerial Control | Feb 28, 1995 |
| Kaiser Foundation Hospital-South Bay |
Hospital | Operational/Managerial Control | Jan 1, 1966 |
| Kaiser Foundation Hospital San Francisco |
Hospital | Operational/Managerial Control | Jan 1, 1966 |
| Kaiser Foundation Hospital West Los Angeles |
Hospital | Operational/Managerial Control | Jan 1, 1966 |
| Kaiser Foundation Hospital South San Francisco |
Hospital | Operational/Managerial Control | Jan 1, 1996 |
| Kaiser Foundation Hospital South Sacramento |
Hospital | Operational/Managerial Control (100%) | Jan 1, 1966 |
| Kaiser Foundation Hospital San Rafael |
Hospital | Operational/Managerial Control | Jul 1, 1966 |
| Kaiser Foundation Hospital - Redwood City |
Hospital | Operational/Managerial Control | Jul 1, 1966 |
| Kaiser Foundation Hospital |
Hospital | Operational/Managerial Control | Jul 1, 1966 |
| Kaiser Foundation Hospital Los Angeles |
Hospital | Operational/Managerial Control | Jul 1, 1966 |
| Kaiser Foundation Hospital-Fremont |
Hospital | Operational/Managerial Control | Jan 1, 1966 |
| Kaiser Foundation Hospital-Vacaville |
Hospital | Operational/Managerial Control (100%) | Sep 16, 2009 |
| Kaiser Permanente Psyciatric Health Facility - Santa Clara |
Hospital | Operational/Managerial Control | Nov 16, 2010 |
| Kaiser Foundation Hospital-Roseville |
Hospital | Operational/Managerial Control | Jan 1, 1966 |
| Kaiser Foundation Hospital-Westside |
Hospital | Operational/Managerial Control | Nov 9, 2012 |
| Kaiser Foundation Hospital-San Leandro |
Hospital | Operational/Managerial Control | Jun 3, 2014 |
| St Josephs Behavioral Health Center |
Hospital | 5% Or Greater Direct Ownership Interest (20%) | May 1, 2016 |
| St Josephs Medical Center of Stockton |
Hospital | 5% Or Greater Indirect Ownership Interest (20%) | Jun 1, 2016 |
| Lanai Community Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 24, 2015 |
| Maui Memorial Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2017 |
| Kula Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 24, 2015 |
| Kula Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 24, 2015 |
| Kaiser Foundation Hospital San Marcos |
Hospital | Operational/Managerial Control | Jul 10, 2023 |
| Lanai Community Hospital Skilled Nursing and Intermediate Care Facilit |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Dec 24, 2015 Dec 24, 2015 |
| Kula Skilled Nursing and Intermediate Care Facility |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Dec 24, 2015 Jan 1, 2017 |
| Kaiser Permanente Hospital Home Health Santa Rosa |
Home health agency | Operational/Managerial Control (100%) | Jun 15, 1993 |
| KFH Home Health Agency - Oahu |
Home health agency | Operational/Managerial Control (100%) | Oct 11, 1993 |
| Kaiser Permanente Hospital Home Health - Sacramento |
Home health agency | Operational/Managerial Control | Jul 6, 2015 |
| Kaiser Foundation Hospital Los Angeles HHA |
Home health agency | Operational/Managerial Control (100%) | Jan 19, 2015 |
| Kaiser Riverside Home Health Agency (Parent) |
Home health agency | Operational/Managerial Control (100%) | Apr 13, 1989 |
| Kaiser Permanente Hospital Tri Central HHA |
Home health agency | Operational/Managerial Control (100%) | Jan 1, 1966 |
| Kaiser Foundation Hospital-Home Health Agency |
Home health agency | Operational/Managerial Control (100%) | Oct 8, 2007 |
| Kaiser Foundation Hospital Anaheim HHA |
Home health agency | Operational/Managerial Control | May 1, 2002 |
| Kaiser Foundation Hospital Home Health - Oakland |
Home health agency | Operational/Managerial Control (100%) | Aug 4, 2017 |
| Kaiser Permanente Hospital Home Health Martinez |
Home health agency | Operational/Managerial Control (100%) | Jan 2, 1998 |
| Kaiser Permanente Continuing Care Services Home Health |
Home health agency | Operational/Managerial Control (100%) | Jan 1, 1978 |
| Kaiser Foundation Hospital HHA Santa Clara |
Home health agency | Operational/Managerial Control (100%) | May 1, 1991 |
| Kaiser Foundation Hospital Home Health Vallejo |
Home health agency | Operational/Managerial Control | Jan 1, 1998 |
| Kaiser Foundation Hospital Home Health San Francisco |
Home health agency | Operational/Managerial Control (100%) | Aug 1, 1966 |
| Kaiser Foundation Hospital San Diego HHA |
Home health agency | Operational/Managerial Control (100%) | Jul 1, 1983 |
| Kaiser Permanente Hospital Home Health Novato |
Home health agency | Operational/Managerial Control (100%) | Jan 1, 1990 |
| Kaiser Permanente Home Health Agency Mau |
Home health agency | Operational/Managerial Control | Jan 1, 1966 |
| Kaiser Foundation Hospital Valleys Continuing Care-HHA |
Home health agency | Operational/Managerial Control | Dec 16, 1994 |
| St Josephs Medical Center Home Health |
Home health agency | 5% Or Greater Indirect Ownership Interest (20%) | Jun 1, 2016 |
| Kaiser Permanente Hospital Sacramento Hospice |
Hospice | Operational/Managerial Control | Feb 14, 1989 |
| Kaiser Permanente Hospital Hospice Program |
Hospice | Operational/Managerial Control (100%) | Dec 13, 1996 |
| Kaiser Foundation Hospital Hospice Oakland |
Hospice | Operational/Managerial Control (100%) | Jan 1, 1966 |
| Kaiser Permanente Hospital San Diego Hospice |
Hospice | Operational/Managerial Control (100%) | Jul 13, 2009 |
| Kaiser Permanente Continuing Care Services Hospice |
Hospice | Operational/Managerial Control (100%) | Jan 1, 1978 |
| Kaiser Permanente Hospital Hospice - Martinez |
Hospice | Operational/Managerial Control (100%) | Jan 1, 1966 |
| Kaiser Foundation Hospital Hospice-Santa Clara |
Hospice | Operational/Managerial Control (100%) | Mar 18, 1998 |
| Kaiser Foundation Hospital Hospice Vallejo |
Hospice | Operational/Managerial Control | Jan 1, 1966 |
| Kaiser Foundation Hospital Valleys Continuing Care-Hospice |
Hospice | Operational/Managerial Control | Jan 1, 1966 |
| Kaiser Permanente Hospital San Francisco Hospice |
Hospice | Operational/Managerial Control (100%) | Sep 1, 1990 |
| Kaiser Foundation Hospital Hospice Hayward |
Hospice | Operational/Managerial Control (100%) | Feb 19, 1989 |
| Kaiser Foundation Hospital Los Angeles - Hospice |
Hospice | Operational/Managerial Control | Feb 2, 1987 |
| Kaiser Permanente Hospital Fontana Hospice |
Hospice | Operational/Managerial Control | Oct 8, 2007 |
| Kaiser Permanente Hospital Riverside Hospice |
Hospice | Operational/Managerial Control | Jan 1, 1966 |
| Kaiser Orange County Hospice |
Hospice | Operational/Managerial Control | Dec 12, 2011 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081104000459 | CA | Part a Provider - Hospital | 6800707456 | Practice locations: San Diego, CA |
National Provider Directory
- Tax ID family
- Kaiser Foundation
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 080000062 | CA | Yes |
Addresses
Primary practice location
9455 Clairemont Mesa Blvd
San Diego, CA 92123-1297
Mailing address
4647 Zion Ave
San Diego, CA 92120-2507
Phone (619) 528-5000
Other practice location 1
4647 Zion Ave
San Diego, CA 92120-2507
Phone (619) 528-5000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050515B000000 | Other | CA | DHS SECTION 1011 |
| 341704400 | Other | CA | USDOL |
| ZZT30515F | Medicaid | CA | |
| ZZT40515F | Medicaid | CA | |
| 50515 | Other | CA | BLUE CROSS |
| ZZZA3700Z | Other | CA | BLUE SHIELD |
Other names
- Kaiser Foundation Hospital San Diego
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondingg | Health Information Exchange (HIE) |
NPI Registry JSON
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1618876800000",
"number": "1013062769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4647 ZION AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921202507",
"telephone_number": "619-528-5000",
"fax_number": "619-528-5317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9455 CLAIREMONT MESA BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231297",
"telephone_number": "619-528-5000"
}
],
"practiceLocations": [
{
"address_1": "4647 Zion Ave",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921202507",
"country_code": "US",
"telephone_number": "619-528-5000",
"fax_number": "619-528-5317",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "KAISER FOUNDATION HOSPITALS",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-24",
"last_updated": "2021-04-20",
"certification_date": "2021-04-20",
"status": "A",
"authorized_official_last_name": "FINLEY",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "SENIOR VICE PRESIDENT, AREA MANAGER",
"authorized_official_telephone_number": "619-528-3390"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "CA",
"license": "080000062",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DHS SECTION 1011",
"identifier": "050515B000000",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USDOL",
"identifier": "341704400",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZT30515F",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZT40515F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "50515",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZA3700Z",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondingg",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "9455 Clairemont Mesa Blvd",
"city": "San Diego",
"state": "CA",
"country_code": "US",
"postal_code": "921231297",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Kaiser Foundation Hospital San Diego",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Kaiser Foundation Hospital San Diego",
"code": "3",
"type": "Doing Business As"
}
]
}
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All providers in San Diego, CA · General Acute Care Hospital in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.