Kaiser Foundation Hospitals

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

980000511 Issued in CA

Legal business name

KAISER FOUNDATION HOSPITALS

Doing business as

Kaiser Foundation Hospital Valleys Continuing Care - Hospice

Practice address

10605 Balboa Blvd
Suite 330
Granada Hills, CA 91344-6342

Phone

(818) 832-7422

Fax

(818) 832-7253

NPI assigned

Jan 24, 2007

Last updated

Apr 26, 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

Payman Roshan

Title

Executive Director

Phone

(818) 375-2131

Specialties & licenses 1

Addresses

Other names 1

• Kaiser Foundation Hospital Valleys Continuing Care - Hospice 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 1386799286. Details of each certification follow.

• CCN 051521 Hospice · Active · Details

Hospice certification: CCN 051521

Legal name

KAISER FOUNDATION HOSPITALS

Doing business as

KAISER FOUNDATION HOSPITAL VALLEYS CONTINUING CARE-HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Oct 3, 1986

Last certification

May 11, 2018

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationNon-profit

Incorporated

Feb 19, 1948 in CA

Enrollment address

1050 A Commerce Center Drive
Lancaster, CA 93534-5860

Listed as

Kaiser Foundation Hospital Valley Continuing CareCCN 051521 · All quality measures

Ownership

For-Profit

Certified

Oct 3, 1986

Medicare certification status

ActiveFrom the Provider of Services file

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 Hospitals

  • Institutional Pharmacy
  • Riverside, CA
  • NPI 1336296656
  NPD tax ID
• Kaiser Foundation Hospitals

  • Institutional Pharmacy
  • Downey, CA
  • NPI 1336376524
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital - Fontana

  • General Acute Care Hospital
  • Fontana, CA
  • NPI 1356496772
  NPD tax ID
• Kaiser Foundation Hospitals

  • Institutional Pharmacy
  • Los Angeles, CA
  • NPI 1356499131
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Permanente Psychiatric Health Facility - Santa Clara

  • Psychiatric Hospital
  • Santa Clara, CA
  • NPI 1356663488
  NPD tax ID
• Kaiser Foundation Hospitals

  • Institutional Pharmacy
  • Woodland Hills, CA
  • NPI 1366590218
  NPD tax ID
• Kaiser Foundation Hospitals

  • Community/Retail Pharmacy
  • Baldwin Park, CA
  • NPI 1366599680
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser FDN HSP Inp Phy 60a

  • Institutional Pharmacy
  • Sacramento, CA
  • NPI 1376600692
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital Panorama City

  • General Acute Care Hospital
  • Panorama City, CA
  • NPI 1376698043
  NPD tax ID
• Kaiser Foundation Hospitals

  • Institutional Pharmacy
  • Murrieta, CA
  • NPI 1386345080
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital Redwood City

  • General Acute Care Hospital
  • Redwood City, CA
  • NPI 1386714814
  NPD tax ID
• Kaiser Foundation Hospitals

  • Institutional Pharmacy
  • Los Angeles, CA
  • NPI 1386791614
  NPD tax ID

Locations

All disclosed owners & managing parties 21

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.

• Isaac Vielma, M.D.

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Reseda, CA
  • NPI 1831284207

  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 8

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

• Peter Jen-Ping Chuang, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Woodland Hills, CA
  • NPI 1780879445

  Hospice

  Care Compare affiliation
• Stacey Dasilva

  • Student in an Organized Health Care Education/Training Program
  • Los Angeles, CA
  • NPI 1255793378

  Hospice

  Care Compare affiliation
• Antony H Fung, MD

  • Internal Medicine Physician
  • Lancaster, CA
  • NPI 1477526846

  Hospice

  Care Compare affiliation
• Maricela Amparo Garcia Schiffman

  • Family Medicine Physician
  • Granada Hills, CA
  • NPI 1164702817

  Hospice

  Care Compare affiliation
• Shahid Javed, M.D

  • General Acute Care Hospital
  • Woodland Hills, CA
  • NPI 1710171582

  Hospice

  Care Compare affiliation
• Angels Nguyen

  • Family Medicine Physician
  • Woodland Hills, CA
  • NPI 1639639370

  Hospice

  Care Compare affiliation
• Christina Sevilla Ortega-Chen

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1619266590

  Hospice

  Care Compare affiliation
• Pamela Tangchitnob, DO

  • Student in an Organized Health Care Education/Training Program
  • Los Angeles, CA
  • NPI 1609211945

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619395200000",
    "number": "1386799286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10605 BALBOA BLVD",
            "address_2": "SUITE 330",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446342",
            "telephone_number": "818-832-7422",
            "fax_number": "818-832-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10605 BALBOA BLVD",
            "address_2": "SUITE 330",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446342",
            "telephone_number": "818-832-7422",
            "fax_number": "818-832-7253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER FOUNDATION HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "ROSHAN",
        "authorized_official_first_name": "PAYMAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "818-375-2131"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "980000511",
            "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": "10605 Balboa Blvd",
            "address_2": "Suite 330",
            "city": "Granada Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913446342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kaiser Foundation Hospital Valleys Continuing Care - Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kaiser Foundation Hospital Valleys Continuing Care - Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daee Jung
• Edward Jung, DC
• Jungjae Lim Medical Corporation (Modern Pain Solutions)
• Saif Kabir, M. S. , CCC- A.
• Sofia Michelle Kachani
• Kaiser Foundation Hospitals (Kaiser Foundation Hospital Valleys Continuing Care - HHA)
• Narineh Kamali
• Kamashians Pharmacy Inc
• Daniel Si Jung Kang, D.C.
• Elise Kaplan, LMFT

• Community Based Hospice Care Agency in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.