Organization Active NPI

El Camino Hospital

Doing business as El Camino Health

  • General Acute Care Hospital
  • Mountain View, CA
National Provider Identifier
1093712374
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
070000660 Issued in CA
Legal business name
EL CAMINO HOSPITAL
Doing business as
El Camino Health
Practice address
2500 Grant Rd
Mountain View, CA 94040-4302
Phone
(650) 940-7000
NPI assigned
Jul 1, 2005
Last updated
Jun 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Authorized official

Name
Ming-Rong Chen Woo
Title
Director of Revenue & Reimbursement
Phone
(650) 940-7247

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 070000660 CA Primary

Addresses

Primary practice location

2500 Grant Rd
Mountain View, CA 94040-4302

Mailing address

2500 Grant Rd
Mountain View, CA 94040-4302
Phone (650) 940-7000

Other identifiers 7

IdentifierTypeStateIssuer
HSP40308HMedicaidCA
ZZZA43042OtherCABLUE SHIELD
HSC30308HMedicaidCA
HSP30308HMedicaidCA
LTC55593FMedicaidCO
CDC02659GMedicaidCA
PBH345400MedicaidCA

Other names 1

  • El Camino Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071203000748 CA Part A Provider - Hospital 0042239238 2 other NPIs on this enrollment
Practice locations: Mountain View, CA; Los Gatos, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093712374. Details of each certification follow.

Hospital certification: CCN 050308

Legal name
EL CAMINO HOSPITAL
Doing business as
EL CAMINO HEALTH
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jan 24, 2025
Beds
471
Ownership / control type
Hospital district or authority
Organization structure
CorporationNon-profit
Incorporated
Nov 16, 1992 in CA
Enrollment address
2500 Grant Rd
Mountain View, CA 94040-4302
Hospital subgroups
Acute care

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

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
El Camino HealthCCN 050308 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0643619El Camino Health - Clinical Laboratory2500 Grant Road, Mountain View, CA 94040AccreditationApr 27, 2027

National Provider Directory

National Provider Directory

Member organizations 12

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Daniel Woods Individual Corporate OfficerChief Executive Officer Aug 30, 2017 100%
Bob Scott Rebitzer Individual Corporate DirectorBoard Director Jul 1, 2017
Julie Ann Kliger Individual Corporate DirectorBoard Director Jan 16, 2018
Ming Jack PO Individual Corporate DirectorBoard Director Jul 1, 2019
John Zoglin Individual Corporate DirectorBoard Director Nov 13, 2007
Don C Watters Individual Corporate DirectorBoard Director May 21, 2019
Robert Flores Individual Corporate DirectorDir - Net Revenue & Reimbursement Mar 20, 2025 1%
Lanhee Chen Individual Corporate DirectorBoard Director Jul 1, 2015
Julia Miller Individual Corporate DirectorBoard Director Dec 10, 2012
Cheryl Lynn Reinking Individual W-2 Managing EmployeeChief Nurse Officer Jul 1, 2013
George Oscar Ting Individual Corporate DirectorBoard Director Dec 5, 2018
Carlos a Bohorquez Individual W-2 Managing EmployeeChief Financial Officer Sep 8, 2020
Peter C Fung Individual Corporate DirectorBoard Director Dec 5, 2014

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Pathways Home Health and HospiceSunnyvale, CA, CCN 057190 Home health agency Operational/Managerial Control (50%) Apr 1, 1986
Commonspirit Health at HomeSunnyvale, CA, CCN 051580 Hospice 5% Or Greater Direct Ownership Interest (50%) Apr 1, 1986
Commonspirit Health at HomeOakland, CA, CCN 051506 Hospice 5% Or Greater Direct Ownership Interest (50%) Apr 1, 1986

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 944

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 944

Affiliated clinicians 1,154

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

View all 1,154

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625011200000",
    "number": "1093712374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 GRANT RD",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404302",
            "telephone_number": "650-940-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 GRANT RD",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404302",
            "telephone_number": "650-940-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL CAMINO HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "WOO",
        "authorized_official_first_name": "MING-RONG",
        "authorized_official_middle_name": "CHEN",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE & REIMBURSEMENT",
        "authorized_official_telephone_number": "650-940-7247"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "070000660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP40308H",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZA43042",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSC30308H",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP30308H",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55593F",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CDC02659G",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PBH345400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "El Camino Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mountain View, CA

Sources for this page

Verify at the official NPI Registry.