NPIMap

Organization Active NPI

Kaiser Foundation Hospital

  • General Acute Care Hospital
  • Modesto, CA
National Provider Identifier
1114252111
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
163WC0200X Issued in CA
Legal business name
KAISER FOUNDATION HOSPITAL
Practice address
4601 Dale Rd
ICU H2312
Modesto, CA 95356-9718
Phone
(209) 735-7615
Fax
(209) 735-7603
NPI assigned
Oct 8, 2009
Organization subpart
Yes
Parent organization
KAISER PERMANENTEAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Mrs. Nancy Pilkington, NP
Title
Director of Education
Phone
(209) 735-5620

National Provider Directory

National Provider Directory
Tax ID family
Kaiser Foundation185 organizations share this tax ID, including this one
Part of
Kaiser Foundation

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.

View all 24

Locations

4601 Dale Rd
#H2312
Modesto, CA 95356
Phone (209) 735-7615

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 163WC0200X CA Primary

Addresses

NPPES NPI Registry

Primary practice location

4601 Dale Rd
ICU H2312
Modesto, CA 95356-9718

Mailing address

4601 Dale Rd
ICU H2312
Modesto, CA 95356-9718
Phone (209) 735-7615

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondingg Health Information Exchange (HIE)

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 22, 2021.

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1114252111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 DALE RD",
            "address_2": "ICU H2312",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569718",
            "telephone_number": "209-735-7615",
            "fax_number": "209-735-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 DALE RD",
            "address_2": "ICU H2312",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569718",
            "telephone_number": "209-735-7615",
            "fax_number": "209-735-7603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER FOUNDATION HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KAISER PERMANENTE",
        "enumeration_date": "2009-10-08",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "PILKINGTON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "DIRECTOR OF EDUCATION",
        "authorized_official_telephone_number": "209-735-5620",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "163WC0200X",
            "primary": true
        }
    ],
    "identifiers": [],
    "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": "4601 Dale Rd",
            "address_2": "ICU H2312",
            "city": "Modesto",
            "state": "CA",
            "country_code": "US",
            "postal_code": "953569718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.