Kaiser Foundation Hospitals

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

070000117 Issued in CA

Legal business name

KAISER FOUNDATION HOSPITALS

Doing business as

Kaiser Foundation Hospital San Jose

Practice address

250 Hospital Pkwy
San Jose, CA 95119-1103

Phone

(408) 972-3000

NPI assigned

Nov 8, 2006

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

Irene Chavez

Title

Senior Vice President, Area Manager

Phone

(408) 972-7440

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Kaiser Foundation Hospital San Jose Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063582989. Details of each certification follow.

• CCN 050604 Hospital · Active · Details

Hospital certification: CCN 050604

Legal name

KAISER FOUNDATION HOSPITALS

Doing business as

KAISER FOUNDATION HOSPITAL SAN JOSE

Certification status

Active

Provider type (POS)

Hospital – Short-term

Participating since

Dec 1, 1976

Last certification

Nov 9, 2023

Beds

247

Ownership / control type

Private (not for profit)

Organization structure

CorporationNon-profit

Incorporated

Feb 19, 1948 in CA

Enrollment address

250 Hospital Parkway
San Jose, CA 95119-1103
Main/Primary Hospital Location

Hospital subgroups

Acute care

Listed as

Kaiser Foundation Hospital-San JoseCCN 050604 · All quality measures

Overall star rating

3 of 5

Type

Acute Care Hospitals

Ownership

Voluntary non-profit - Private

Medicare certification status

ActiveFrom the Provider of Services file

Emergency services

Yes

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Daniel Gussin185 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

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 Mental Health Ctr DP AHP

  • Psychiatric Hospital Unit
  • Los Angeles, CA
  • NPI 1063567956
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital Pharmacy #48B

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

Locations

All disclosed owners & managing parties 18

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 2

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

• Efren E. Rosas, MD

  • Surgery Physician
  • San Jose, CA
  • NPI 1760568265

  Contracted Managing Employee

  CMS ownership
• 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 Mental Health Ctr DP AHP

  • Psychiatric Hospital Unit
  • Los Angeles, CA
  • NPI 1063567956

  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

Affiliated clinicians 259

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Fakhar Abbas, MD

  • Internal Medicine Physician
  • Fremont, CA
  • NPI 1578022422

  Hospital

  Care Compare affiliation
• Barbara De Lara Aguilar, MD

  • Internal Medicine Physician
  • San Jose, CA
  • NPI 1265584965

  Hospital

  Care Compare affiliation
• Vasumitha Alamelu, MD

  • Internal Medicine Physician
  • Gilroy, CA
  • NPI 1194801613

  Hospital

  Care Compare affiliation
• Thomas Alloggiamento, MD

  • Cardiovascular Disease Physician
  • San Jose, CA
  • NPI 1881770386

  Hospital

  Care Compare affiliation
• Farhan Syed Amanullah, MD

  • Radiation Oncology Physician
  • Stanford, CA
  • NPI 1548528813

  Hospital

  Care Compare affiliation
• Valeh Aminian, MD

  • Internal Medicine Physician
  • San Jose, CA
  • NPI 1417035098

  Hospital

  Care Compare affiliation
• Niraj Kumar Asthana

  • Psychiatry Physician
  • La Jolla, CA
  • NPI 1275199093

  Hospital

  Care Compare affiliation
• Lakshmi Reddy Avula, M.D

  • Internal Medicine Physician
  • San Jose, CA
  • NPI 1114153905

  Hospital

  Care Compare affiliation
• Sudeep Banerjee

  • Student in an Organized Health Care Education/Training Program
  • Los Angeles, CA
  • NPI 1467849901

  Hospital

  Care Compare affiliation
• Zineb Benmayouf, MD

  • Hospitalist Physician
  • San Jose, CA
  • NPI 1730265257
  Care Compare affiliation
• Nalini Bhat, MD

  • Anatomic Pathology Physician
  • San Jose, CA
  • NPI 1275605024

  Hospital

  Care Compare affiliation
• Xiao Cai, M.D.

  • Hospitalist Physician
  • Sacramento, CA
  • NPI 1205070067
  Care Compare affiliation

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1063582989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 HOSPITAL PKWY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191103",
            "telephone_number": "408-972-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 HOSPITAL PKWY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191103",
            "telephone_number": "408-972-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER FOUNDATION HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT, AREA MANAGER",
        "authorized_official_telephone_number": "408-972-7440"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "070000117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR00604G",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF CA",
            "identifier": "50604",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP40604G",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECTION 1011-DHS",
            "identifier": "050604B000000",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USDOL",
            "identifier": "339040925",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "ZZZA4312Z",
            "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": "250 Hospital Pkwy",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "951191103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kaiser Foundation Hospital San Jose",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kaiser Foundation Hospital San Jose",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaiser Foundation Health Plan Inc (Kaiser Health Plan Family Phy 635)
• Kaiser Foundation Health Plan Inc (Kaiser Oncology Phrmcy #638)
• Kaiser Foundation Health Plan Inc (Kaiser Health Plan 1 North Pharmacy 631)
• Kaiser Foundation Health Plan Inc
• Kaiser Foundation Health Plan Inc (Kaiser Permanente Pharmacy #634)
• Kaiser Foundation Hospitals (Kaiser Foundation Hospital - Santa Clara ESRD (Skyport))
• Kaiser Foundation Hospitals (Kaiser FDN HSP Inp/Out Dis Phy 63a 634)
• Kaiser Foundation Hospitals
• Kaiser Permanente
• Kaiser Permanente

• General Acute Care Hospital in San Jose, CA
• Providers in San Jose, CA by specialty
• General Acute Care Hospital 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.