Kaiser Foundation Hospitals

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

250000333 Issued in CA

Legal business name

KAISER FOUNDATION HOSPITALS

Doing business as

Kaiser Riverside Home Health Agency (Parent)

Practice address

1830 California Ave
Corona, CA 92881-3378

Phone

(951) 270-1260

NPI assigned

Jan 23, 2007

Last updated

Jun 8, 2026By 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

Angel Luis Vargas

Title

VP, Care at Home

Phone

(626) 773-0355

Specialties & licenses 1

Addresses

Other names 1

• Kaiser Riverside Home Health Agency (Parent) 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 1164577086. Details of each certification follow.

• CCN 557037 Home health agency · Active · Details

Home health agency certification: CCN 557037

Legal name

KAISER FOUNDATION HOSPITALS

Doing business as

KAISER RIVERSIDE HOME HEALTH AGENCY (PARENT)

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 14, 1989

Last certification

Jun 25, 2018

Ownership / control type

Non-Profit

Organization structure

CorporationNon-profit

Incorporated

Feb 19, 1948 in CA

Enrollment address

1830 California Ave
Corona, CA 92881-3378
HHA Branch

Listed as

Kaiser, Riverside, Home Health Agency (Parent)CCN 557037 · All quality measures

Overall star rating

3.5 of 5

Ownership

Non-Profit

Certified

Apr 14, 1989

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Tax ID family

Kaiser FDN Hosp Phcy186 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 Hospital

  dba Kaiser Found Hospital Pharmacy #85a

  • Institutional Pharmacy
  • Modesto, CA
  • NPI 1194882456
  NPD tax ID
• Kaiser Foundation Hospitals

  • Institutional Pharmacy
  • Moreno Valley, CA
  • NPI 1104070242
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser FDN HSP Inp Discharge Phy 37a 374

  • Institutional Pharmacy
  • Redwood City, CA
  • NPI 1114075934
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser FDN HSP Inp Out Phy

  • Institutional Pharmacy
  • Santa Clara, CA
  • NPI 1114079191
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital Los Angeles HHA

  • Home Health Agency
  • Pasadena, CA
  • NPI 1124173059
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital Fontana Rehab Unit

  • Rehabilitation Hospital Unit
  • Fontana, CA
  • NPI 1134274020
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital West Los Angeles

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1134274897
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital - Orange County - Anaheim Medical Center

  • General Acute Care Hospital
  • Anaheim, CA
  • NPI 1144375056
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Outpatient Hospital Pharmacy 123

  • Community/Retail Pharmacy
  • Richmond, CA
  • NPI 1144378951
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Permanente Pharmacy #142

  • Community/Retail Pharmacy
  • Hayward, CA
  • NPI 1154479905
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser FDN HSP Inp Discharge Phy 72a 726

  • Institutional Pharmacy
  • Fresno, CA
  • NPI 1154479939
  NPD tax ID

Locations

All disclosed owners & managing parties 20

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 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 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

Affiliated clinicians 1

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

• Ramon Aguilera Grijalva Jr., M.D.

  • Orthopaedic Surgery Physician
  • Riverside, CA
  • NPI 1023295292

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1164577086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21263 ERWIN ST",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913673715",
            "telephone_number": "818-832-7272",
            "fax_number": "818-832-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 CALIFORNIA AVE",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813378",
            "telephone_number": "951-270-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER FOUNDATION HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "VP, CARE AT HOME",
        "authorized_official_telephone_number": "626-773-0355"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "250000333",
            "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": "10917 Magnolia Ave",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925053044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kaiser Riverside Home Health Agency (Parent)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kaiser Riverside Home Health Agency (Parent)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shaun P Just, D.C.
• Alia Meagan Kabbara, DMD
• Kadour and Hattar Inc (Bee Well Pharmacy)
• Ibtihal M Kadour, RPH
• Kaiser Foundation Health Plan Inc
• Kaiser Foundation Hospitals (Kaiser Foundation Hospital - Riverside Hospice)
• Kaiser Permanente
• John Emil Kaiser, M.D.
• Ria Kale
• James George Kalkanis, MD

• Home Health Agency in Corona, CA
• Providers in Corona, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.