Kaiser Foundation Hospitals

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

550000810 Issued in CA

Legal business name

KAISER FOUNDATION HOSPITALS

Practice address

27300 Iris Ave
Moreno Valley, CA 92555-4802

Phone

(951) 243-2263

Fax

(951) 243-2005

NPI assigned

Mar 3, 2008

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

Vita M Willett

Title

Executive Director

Phone

(951) 353-4601

Specialties & licenses 1

Addresses

Other names 1

• Kaiser Foundation Hospital-Moreno Valley Other name

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 1174793459. Details of each certification follow.

• CCN 050765 Hospital · Active · Details

Hospital certification: CCN 050765

Legal name

KAISER FOUNDATION HOSPITALS

Doing business as

KAISER FOUNDATION HOSPITAL - MORENO VALLEY

Certification status

Active

Provider type (POS)

Hospital – Short-term

Participating since

May 20, 2009

Last certification

May 17, 2024

Beds

101

Ownership / control type

Private (not for profit)

Organization structure

CorporationNon-profit

Incorporated

Feb 19, 1948 in CA

Enrollment address

27300 Iris Ave
Moreno Valley, CA 92555-4802
Main/Primary Hospital Location

Hospital subgroups

Acute care

Listed as

Kaiser Foundation Hospital-Moreno ValleyCCN 050765 · All quality measures

Overall star rating

4 of 5

Type

Acute Care Hospitals

Ownership

Voluntary non-profit - Private

Medicare certification status

ActiveFrom the Provider of Services file

Emergency services

Yes

Tax ID family

Kaiser Foundation185 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

  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
• Kaiser Foundation Hospitals

  dba Kaiser Riverside Home Health Agency (Parent)

  • Home Health Agency
  • Corona, CA
  • NPI 1164577086
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital Los Angeles - Home Health & Hospice

  • Community Based Hospice Care Agency
  • Pasadena, CA
  • NPI 1164577979
  NPD tax ID
• Kaiser Foundation Hospitals

  • Institutional Pharmacy
  • San Diego, CA
  • NPI 1174068241
  NPD tax ID

All disclosed owners & managing parties 19

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.

• Michael A. Neri, MD

  • Family Medicine Physician
  • Riverside, CA
  • NPI 1659430304

  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 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 162

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

• Fernando Acosta, PA-C

  • Physician Assistant
  • Redlands, CA
  • NPI 1972744399

  Hospital

  Care Compare affiliation
• Jennifer Ahn

  • Student in an Organized Health Care Education/Training Program
  • Sacramento, CA
  • NPI 1548536055

  Hospital

  Care Compare affiliation
• Diana Christine Aventura Alano, M.D.

  • Internal Medicine Physician
  • Arcadia, CA
  • NPI 1760654719

  Hospital

  Care Compare affiliation
• Rachel Allen

  • Student in an Organized Health Care Education/Training Program
  • Loma Linda, CA
  • NPI 1043607633

  Hospital

  Care Compare affiliation
• Arthur Kevin Calderon Amador, DO

  • Internal Medicine Physician
  • Riverside, CA
  • NPI 1851850978

  Hospital

  Care Compare affiliation
• Arezou Amanda Aryai, DO

  • Emergency Medicine Physician
  • Colton, CA
  • NPI 1508032442

  Hospital

  Care Compare affiliation
• Caroline Anita Bakhit, DO

  • Internal Medicine Physician
  • Riverside, CA
  • NPI 1013536069

  Hospital

  Care Compare affiliation
• Adam Mathew Basiago, MD

  • Diagnostic Radiology Physician
  • Moreno Valley, CA
  • NPI 1346709201

  Hospital

  Care Compare affiliation
• Somnath Basu, MD PHD

  • Diagnostic Radiology Physician
  • Riverside, CA
  • NPI 1467654343

  Hospital

  Care Compare affiliation
• Columbus D. Batiste, MD

  • Cardiovascular Disease Physician
  • Riverside, CA
  • NPI 1972651875

  Hospital

  Care Compare affiliation
• Jeffrey Jon Brand, MD

  • Internal Medicine Physician
  • Riverside, CA
  • NPI 1659429553

  Hospital

  Care Compare affiliation
• Marirose Calderon, MD

  • Internal Medicine Physician
  • Mountain View, CA
  • NPI 1063837680

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1174793459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27300 IRIS AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925554802",
            "telephone_number": "951-243-2263",
            "fax_number": "951-243-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27300 IRIS AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925554802",
            "telephone_number": "951-243-2263",
            "fax_number": "951-243-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER FOUNDATION HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "WILLETT",
        "authorized_official_first_name": "VITA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "951-353-4601"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "550000810",
            "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": "27300 Iris Ave",
            "city": "Moreno Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925554802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kaiser Foundation Hospital-Moreno Valley",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Kaiser Foundation Hospital-Moreno Valley",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jennifer Kago
• Kaiser Foundation Health Plan Inc (Kaiser Permanente Pharmacy #508)
• Kaiser Foundation Health Plan Inc (Kaiser Permanente Pharmacy #531C)
• Kaiser Foundation Health Plan Inc
• Kaiser Foundation Hospitals
• Kaiser Foundation Hospitals (Outpatient Services - Peritoneal Dialysis at Kaiser Moreno Valley CAPD)
• Kaiser Foundation Hospitals (Kaiser Foundation Hospital - Moreno Valley Psych Unit)
• Kaiser Permanente
• Kaitlyn Phuc Thuan Nguyen, DDS, Inc (Family Dental Center)
• Stephen S Kallaos, DDS

• General Acute Care Hospital in Moreno Valley, CA
• Providers in Moreno Valley, 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.