Kaiser Foundation Hospitals

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

110000026 Issued in CA

Legal business name

KAISER FOUNDATION HOSPITALS

Doing business as

Kaiser Foundation Hospital Vallejo

Practice address

975 Sereno Dr
Vallejo, CA 94589-2441

Phone

(707) 651-1000

NPI assigned

Nov 10, 2006

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

Norair Jemjemian

Title

Senior Vice President/Area Manager

Phone

(707) 651-5414

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Kaiser Foundation Hospital Vallejo 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 1366513509. Details of each certification follow.

• CCN 050073 Hospital · Active · Details

Hospital certification: CCN 050073

Legal name

KAISER FOUNDATION HOSPITALS

Doing business as

KAISER FOUNDATION HOSPITAL - VALLEJO

Certification status

Active

Provider type (POS)

Hospital – Short-term

Participating since

Jul 1, 1966

Last certification

Dec 2, 2024

Beds

475 (248 certified)

Ownership / control type

Private (not for profit)

Organization structure

CorporationNon-profit

Incorporated

Feb 19, 1948 in CA

Enrollment address

975 Sereno Dr
Vallejo, CA 94589-2441
Main/Primary Hospital Location

Hospital subgroups

Acute care, Rehabilitation unit

Related certifications (CCN) 1

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

• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital Vallejo Rehab Unit

  • Rehabilitation Hospital Unit
  • Vallejo, CA
  • NPI 1467527176
  Provider of Services

Listed as

Kaiser Foundation Hospital and Rehab CenterCCN 050073 · All quality measures

Overall star rating

2 of 5

Type

Acute Care Hospitals

Ownership

Voluntary non-profit - Private

Medicare certification status

ActiveFrom the Provider of Services file

Emergency services

No

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 2

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

• Noman Absar, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Vallejo, CA
  • NPI 1205908951

  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

Practitioners 2

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.

• Attia S. Kadri, MD

  • Obstetrics & Gynecology Physician
  • Berkeley, CA
  • NPI 1811075633
  NPD (past)
• Qiongqiong Yang, MD

  • Family Medicine Physician
  • Campbell, CA
  • NPI 1063949428
  NPD (past)

Affiliated clinicians 312

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

• Noman Absar, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Vallejo, CA
  • NPI 1205908951

  Hospital

  Care Compare affiliation
• Olubunmi A Ajose-Popoola, MD

  • Otolaryngology Physician
  • Orange, CA
  • NPI 1730479734

  Hospital

  Care Compare affiliation
• Aaser Ali

  • Family Medicine Physician
  • Vallejo, CA
  • NPI 1073148110

  Hospital

  Care Compare affiliation
• Saiyed Ali, M.D.

  • Internal Medicine Physician
  • Sacramento, CA
  • NPI 1639607294

  Hospital

  Care Compare affiliation
• Eman Alqahtani, M.D., MPH

  • Diagnostic Radiology Physician
  • San Diego, CA
  • NPI 1104169564

  Hospital

  Care Compare affiliation
• William T Amess, M.D.

  • Internal Medicine Physician
  • Sacramento, CA
  • NPI 1326232794

  Hospital

  Care Compare affiliation
• Ericson B Aquino, M.D.

  • Family Medicine Physician
  • Yuba City, CA
  • NPI 1144216383

  Hospital

  Care Compare affiliation
• Joyce Arpilleda, MD

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • San Diego, CA
  • NPI 1972523009

  Hospital

  Care Compare affiliation
• Ninad Athale, M.D.

  • Family Medicine Physician
  • Napa, CA
  • NPI 1619124864

  Hospital

  Care Compare affiliation
• Justin Lee Banaga

  • Diagnostic Radiology Physician
  • San Francisco, CA
  • NPI 1306208590

  Hospital

  Care Compare affiliation
• Woseneneh Bekele

  • Neuroradiology Physician
  • Sacramento, CA
  • NPI 1699903617

  Hospital

  Care Compare affiliation
• Anatole J. Besman, MD

  • Surgery Physician
  • Vallejo, CA
  • NPI 1033297866

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1366513509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 SERENO DR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945892441",
            "telephone_number": "707-651-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 SERENO DR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945892441",
            "telephone_number": "707-651-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER FOUNDATION HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "JEMJEMIAN",
        "authorized_official_first_name": "NORAIR",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT/AREA MANAGER",
        "authorized_official_telephone_number": "707-651-5414"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "110000026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF CA",
            "identifier": "50073",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "ZZZA4801Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP40073F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR00073F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECTION 1011 - DHS",
            "identifier": "050073B000000",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USDOL",
            "identifier": "339040909",
            "state": "CA"
        }
    ],
    "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": "975 Sereno Dr",
            "city": "Vallejo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945892441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kaiser Foundation Hospital Vallejo",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kaiser Foundation Hospital Vallejo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jazmin Kail
• Kaiser Foundation Health Plan Inc (Kaiser Health Plan Mob 3 Phy 213)
• Kaiser Foundation Health Plan Inc (Kaiser Health Plan Mob 1 Phy 211)
• Kaiser Foundation Hospitals (Kaiser Permanente Pharmacy #215)
• Kaiser Foundation Hospitals (Kaiser Foundation Hospital Home Health Vallejo)
• Kaiser Foundation Hospitals (Kaiser Foundation Hospital Vallejo Rehab Unit)
• Kaiser Foundation Hospitals (Kaiser FDN HSP Phy 21a)
• Kaiser Foundation Hospitals (Kaiser Foundation Hospital Hospice Vallejo)
• Kaiser Foundation Rehabilitation Center
• Kaiser Permanente

• General Acute Care Hospital in Vallejo, CA
• Providers in Vallejo, 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.