Kaiser Foundation Hospitals

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

License

930000077 Issued in CA

Legal business name

KAISER FOUNDATION HOSPITALS

Doing business as

Kaiser Foundation Hospital Mental Health Ctr DP AHP

Practice address

765 W College St
Los Angeles, CA 90012-1181

Phone

(213) 580-7200

NPI assigned

Jan 24, 2007

Last updated

Apr 20, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

William N Grice

Title

Executive Director

Phone

(323) 783-8100

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Kaiser Foundation Hospital Mental Health Ctr DP AHP Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1063567956. Details of each certification follow.

• CCN 05S138 Hospital · Details
• CCN 054068 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 05S138

Legal name

KAISER FOUNDATION HOSPITALS

Doing business as

KAISER FOUNDATION HOSPITAL LOS ANGELES

Organization structure

CorporationNon-profit

Incorporated

Feb 19, 1948 in CA

Enrollment address

765 W College St
Los Angeles, CA 90012-1181
Main/Primary Hospital Location

Hospital subgroups

Psychiatric unit

Hospital certification: CCN 054068

Legal name

KAISER PERMANENTE MENTAL HEALTH CENTER

Certification status

Terminated Voluntary: merger or closure, Dec 31, 1994

Provider type (POS)

Hospital – Psychiatric

Participating since

Jan 18, 1978

Last certification

Dec 12, 1984

Beds

60

Ownership / control type

Other

Facility address

765 College Street
Los Angeles, CA 90012

Related certifications (CCN) 1

Facilities connected through Provider of Services related, parent or unit certification numbers.

• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital-Los Angeles

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1821143777

  Unit of hospital

  Provider of Services

Tax ID family

Kaiser Foundation Hosp Phcy186 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 23

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Kaiser Foundation Hospital

  • General Acute Care Hospital
  • Modesto, CA
  • NPI 1114252111
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Permanente Pharmacy No 515

  • Community/Retail Pharmacy
  • Walnut Creek, CA
  • NPI 1003964800
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital San Diego

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1013062769
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser FDN HSP Inp/Out HSP Phy 31a 315

  • Institutional Pharmacy
  • San Francisco, CA
  • NPI 1023160009
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital Hospice Program

  • Community Based Hospice Care Agency
  • West Covina, CA
  • NPI 1053466953
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital Inland Empire Hospice

  • Community Based Hospice Care Agency
  • Fontana, CA
  • NPI 1053466961
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Permanente Pharmacy #215

  • Community/Retail Pharmacy
  • Vallejo, CA
  • NPI 1053469890
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Found Hospital Phy #58B

  • Institutional Pharmacy
  • Santa Rosa, CA
  • NPI 1053548230
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser FDN HSP Inp Phy 16a

  • Institutional Pharmacy
  • Fremont, CA
  • NPI 1063560811
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Permanente Pharmacy #351

  • Community/Retail Pharmacy
  • South San Francisco, CA
  • NPI 1063560845
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital San Jose

  • General Acute Care Hospital
  • San Jose, CA
  • NPI 1063582989
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital Pharmacy #48B

  • Institutional Pharmacy
  • Santa Clara, CA
  • NPI 1063712057
  NPD tax ID

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Regina M Benjamin, MD

  • Family Medicine Physician
  • Bayou la Batre, AL
  • NPI 1033188339

  Corporate Director

  CMS ownership

All facility ownership & control disclosures 79

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Facilities with the same owner 78

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital San Diego

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1013062769

  Kaiser Foundation Hospitals

  CMS ownership
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital Hospice Program

  • Community Based Hospice Care Agency
  • West Covina, CA
  • NPI 1053466953

  Kaiser Foundation Hospitals

  CMS ownership
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital Inland Empire Hospice

  • Community Based Hospice Care Agency
  • Fontana, CA
  • NPI 1053466961

  Kaiser Foundation Hospitals

  CMS ownership
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital Hospice - Martinez

  • Community Based Hospice Care Agency
  • Martinez, CA
  • NPI 1053487793

  Kaiser Foundation Hospitals

  CMS ownership
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital San Jose

  • General Acute Care Hospital
  • San Jose, CA
  • NPI 1063582989

  Kaiser Foundation Hospitals

  CMS ownership
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital - Roseville

  • General Acute Care Hospital
  • Roseville, CA
  • NPI 1073811378

  Kaiser Foundation Hospitals

  CMS ownership
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital Fresno

  • General Acute Care Hospital
  • Fresno, CA
  • NPI 1083784672

  Kaiser Foundation Hospitals

  CMS ownership
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital Home Health Santa Rosa

  • Home Health Agency
  • Santa Rosa, CA
  • NPI 1104996933

  Kaiser Foundation Hospitals

  CMS ownership
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital Los Angeles HHA

  • Home Health Agency
  • Pasadena, CA
  • NPI 1124173059

  Kaiser Foundation Hospitals

  CMS ownership
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital West Los Angeles

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1134274897

  Kaiser Foundation Hospitals

  CMS ownership
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital San Francisco

  • General Acute Care Hospital
  • San Francisco, CA
  • NPI 1134299522

  Kaiser Foundation Hospitals

  CMS ownership
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital - Orange County - Anaheim Medical Center

  • General Acute Care Hospital
  • Anaheim, CA
  • NPI 1144375056

  Kaiser Foundation Hospitals

  CMS ownership

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1063567956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 W COLLEGE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900121181",
            "telephone_number": "213-580-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 W COLLEGE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900121181",
            "telephone_number": "213-580-7200"
        }
    ],
    "practiceLocations": [],
    "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": "GRICE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "323-783-8100"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "CA",
            "license": "930000077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSM41520F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USDOL",
            "identifier": "339040912",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSM31520F",
            "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": "765 W College St",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900121181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kaiser Foundation Hospital Mental Health Ctr DP AHP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kaiser Foundation Hospital Mental Health Ctr DP AHP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaiser Foundation Health Plan Inc
• Kaiser Foundation Health Plan Inc
• Kaiser Foundation Health Plan Inc
• Kaiser Foundation Health Plan Inc
• Kaiser Foundation Health Plan Inc (Kaiser Permanente Pharmacy #014)
• Kaiser Foundation Hospitals (Kaiser Foundation Hospital West Los Angeles)
• Kaiser Foundation Hospitals
• Kaiser Foundation Hospitals
• Kaiser Foundation Hospitals
• Kaiser Foundation Hospitals

• Psychiatric Hospital Unit in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychiatric Hospital Unit in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.