Kaiser Foundation Hospitals

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

140000053 Issued in CA

Legal business name

KAISER FOUNDATION HOSPITALS

Practice address

27303 Sleepy Hollow S
Hayward, CA 94545-4235

Phone

(510) 784-2079

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

Thomas S Hanenburg

Title

SVP/Area Manager

Phone

(510) 784-4355

Specialties & licenses 1

Addresses

Other names 1

• Kaiser Foundation Hospital San Leandro ESRD Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Kaiser Hospital ESRD PD UnitCCN 052398

Overall star rating

5.0 of 5

Ownership

Non-profit

Certified

Mar 18, 2005

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Kaiser Permanente

Dialysis stations

10

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

  • General Acute Care Hospital
  • Walnut Creek, CA
  • NPI 1295193209
  NPD tax ID
• Kaiser Foundation Hospital

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

  • 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
• Kaiser Foundation Hospitals

  • General Acute Care Hospital
  • Moreno Valley, CA
  • NPI 1174793459
  NPD tax ID
• Kaiser Foundation Hospitals

  • Institutional Pharmacy
  • Redwood City, CA
  • NPI 1184029324
  NPD tax ID
• Kaiser Foundation Hospitals

  • General Acute Care Hospital
  • San Rafael, CA
  • NPI 1194895227
  NPD tax ID
• Kaiser Foundation Hospitals

  • Institutional Pharmacy
  • San Rafael, CA
  • NPI 1205984002
  NPD tax ID
• Kaiser Foundation Hospitals

  • Community/Retail Pharmacy
  • Oakland, CA
  • NPI 1205984028
  NPD tax ID
• Kaiser Foundation Hospitals

  • Institutional Pharmacy
  • South San Francisco, CA
  • NPI 1205988284
  NPD tax ID
• Kaiser Foundation Hospitals

  • Home Health Agency
  • Vallejo, CA
  • NPI 1215008461
  NPD tax ID
• Kaiser Foundation Hospitals

  • Institutional Pharmacy
  • Oakland, CA
  • NPI 1215094578
  NPD tax ID

All facility ownership & control disclosures 80

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

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1245305952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 MERCED ST",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774201",
            "telephone_number": "510-784-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27303 SLEEPY HOLLOW S",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945454235",
            "telephone_number": "510-784-2079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER FOUNDATION HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "HANENBURG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SVP/AREA MANAGER",
        "authorized_official_telephone_number": "510-784-4355"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "CA",
            "license": "140000053",
            "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": "27303 Sleepy Hollow S",
            "city": "Hayward",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945454235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kaiser Foundation Hospital San Leandro ESRD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kaiser Foundation Hospital San Leandro ESRD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Helen Kahn, BCAT
• Kai Ming Cai DDS Inc
• Eric Kaing
• Kaiser Foundation Health Plan Inc
• Kaiser Foundation Hospitals
• Kaiser Foundation Hospitals
• Kaiser Foundation Hospitals
• Kaiser Permanente
• Shraddha P Kalgutkar
• Kaarel T. Kaljot, M.D.

• All providers in Hayward, CA
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.