Kaiser Foundation Hospitals
Organization Active NPI Community Based Hospice Care Agency · Granada Hills, CA
NPI 1386799286 · NPPES record last updated Apr 26, 2021
Key facts
- NPI
- 1386799286
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- License
- 980000511 (CA)
- Legal business name
- KAISER FOUNDATION HOSPITALS
- 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
- Organization subpart
- No
Authorized official
- Name
- Payman Roshan
- Title
- Executive Director
- Phone
- (818) 375-2131
Owners & managing parties with NPI records 2
-
Isaac Vielma, M.D.
Corporate family (same tax ID) 24
Facilities with the same owner 78
Affiliated clinicians 8
-
Peter Jen-Ping Chuang, M.D.
-
Antony H Fung, MD
-
Shahid Javed, M.D
Medicare Care Compare: Hospice
- Listed as
- Kaiser Foundation Hospital Valley Continuing Care
- Ownership
- For-Profit
- Certified
- Oct 3, 1986
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
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
- Corporation · Non-profit
- Incorporated
- Feb 19, 1948 in CA
- Enrollment address
- 1050 A Commerce Center Drive
Lancaster, CA 93534-5860
All disclosed owners & managing parties 21
| Name | Role | Since | Share |
|---|---|---|---|
| David J Barger |
Corporate Director |
May 1, 2017 | |
| Margaret E Porfido |
Corporate Director |
Nov 1, 2011 | |
| Jenny Ming |
Corporate Director |
Jul 6, 2021 | |
| Richard P Shannon |
Corporate Director |
Jul 1, 2014 | |
| Regina M Benjamin |
Corporate Director |
Jun 1, 2015 | |
| Michelle J Gaskill-Hames |
Corporate Officer |
Sep 18, 2023 | |
| Judith a Johansen |
Corporate Director |
Apr 1, 2006 | |
| Sherill Agdeppa |
W-2 Managing Employee |
Oct 1, 2022 | |
| Operational/Managerial Control |
Oct 1, 2022 | ||
| Douglas a Lemieux |
W-2 Managing Employee |
Jul 8, 2018 | |
| David F Hoffmeister |
Corporate Director |
Nov 1, 2014 | |
| Isaac Hernandez Vielma |
Contracted Managing Employee |
Apr 1, 2024 | |
| Kaiser Foundation Hospitals |
Operational/Managerial Control | Jan 1, 1966 | |
| Arnold Eugene Washington |
Corporate Director |
Jan 4, 2016 | |
| Ines Gaeta |
Operational/Managerial Control |
Apr 4, 2022 | |
| Jeffrey E Epstein |
Corporate Director |
Apr 1, 2013 | |
| Teresa Ramirez |
W-2 Managing Employee |
Sep 29, 2016 | |
| Angel Vargas |
Corporate Officer |
Aug 13, 2018 | |
| W-2 Managing Employee |
Aug 13, 2018 | ||
| Operational/Managerial Control |
Aug 13, 2018 | ||
| Ramon F Baez |
Corporate Director |
Jun 4, 2016 | |
| Gregory a Adams |
Corporate Officer |
Nov 11, 2019 | |
| Corporate Director |
Nov 11, 2019 | ||
| Matthew T Ryan |
Corporate Director |
Jan 1, 2020 | |
| Leslie S Heisz |
Corporate Director |
Jan 1, 2015 |
All facility ownership & control disclosures 79
| Facility | Type | Role | Since |
|---|---|---|---|
| Kaiser Sunnyside Medical Center |
Hospital | Operational/Managerial Control (100%) | Jan 5, 2007 |
| Kaiser Foundation Hospital - Santa Clara |
Hospital | Operational/Managerial Control (100%) | Jul 24, 2007 |
| Kaiser Foundation Hospital - Manteca |
Hospital | Operational/Managerial Control (100%) | Nov 1, 2004 |
| Kaiser Foundation Hospital Los Angeles |
Hospital | Operational/Managerial Control (100%) | Jul 1, 1966 |
| Kaiser Foundation Hospitals - Orange County - Anaheim |
Hospital | Operational/Managerial Control (100%) | May 1, 1979 |
| Kaiser Foundation Hospital - Antioch |
Hospital | Operational/Managerial Control (100%) | Apr 27, 2007 |
| Kaiser Foundation Hospital - Santa Rosa |
Hospital | Operational/Managerial Control (100%) | Apr 18, 1990 |
| Kaiser Foundation Hospital - Sacramento |
Hospital | Operational/Managerial Control (100%) | Jul 1, 1966 |
| Kaiser Foundation Hospital-Riverside |
Hospital | Operational/Managerial Control (100%) | Sep 11, 1989 |
| Kaiser Foundation Hospital Oakland Richmond |
Hospital | Operational/Managerial Control (100%) | Jan 1, 1966 |
| Kaiser Foundation Hospital San Jose |
Hospital | Operational/Managerial Control (100%) | Dec 1, 1976 |
| Kaiser Foundation Hospital - Moreno Valley |
Hospital | Operational/Managerial Control (100%) | Dec 18, 2008 |
| Kaiser Foundation Hospital - Vallejo |
Hospital | Operational/Managerial Control (100%) | Jan 1, 1966 |
| Kaiser Foundation Hospital - Vallejo |
Hospital | Operational/Managerial Control (100%) | Jan 1, 1966 |
| Kaiser Foundation Hospital Baldwin Park |
Hospital | Operational/Managerial Control | Feb 19, 1948 |
| Kaiser Foundation Hospital - Fontana |
Hospital | Operational/Managerial Control (100%) | Nov 2, 2007 |
| Kaiser Foundation Hospital-Downey |
Hospital | Operational/Managerial Control (100%) | Jan 1, 1966 |
| Kaiser Foundation Hospital San Diego |
Hospital | Operational/Managerial Control (100%) | Jul 13, 2009 |
| Kaiser Foundation Hospital Walnut Creek |
Hospital | Operational/Managerial Control | Jul 1, 1966 |
| Kaiser Foundation Hospital Woodland Hills |
Hospital | Operational/Managerial Control | Jan 1, 1966 |
| Kaiser Foundation Hospital Panorama City |
Hospital | Operational/Managerial Control | Jan 1, 1966 |
| Kaiser Foundation Hospital Fresno |
Hospital | Operational/Managerial Control | Feb 28, 1995 |
| Kaiser Foundation Hospital-South Bay |
Hospital | Operational/Managerial Control | Jan 1, 1966 |
| Kaiser Foundation Hospital San Francisco |
Hospital | Operational/Managerial Control | Jan 1, 1966 |
| Kaiser Foundation Hospital West Los Angeles |
Hospital | Operational/Managerial Control | Jan 1, 1966 |
| Kaiser Foundation Hospital South San Francisco |
Hospital | Operational/Managerial Control | Jan 1, 1996 |
| Kaiser Foundation Hospital South Sacramento |
Hospital | Operational/Managerial Control (100%) | Jan 1, 1966 |
| Kaiser Foundation Hospital San Rafael |
Hospital | Operational/Managerial Control | Jul 1, 1966 |
| Kaiser Foundation Hospital - Redwood City |
Hospital | Operational/Managerial Control | Jul 1, 1966 |
| Kaiser Foundation Hospital |
Hospital | Operational/Managerial Control | Jul 1, 1966 |
| Kaiser Foundation Hospital Los Angeles |
Hospital | Operational/Managerial Control | Jul 1, 1966 |
| Kaiser Foundation Hospital-Fremont |
Hospital | Operational/Managerial Control | Jan 1, 1966 |
| Kaiser Foundation Hospital-Vacaville |
Hospital | Operational/Managerial Control (100%) | Sep 16, 2009 |
| Kaiser Permanente Psyciatric Health Facility - Santa Clara |
Hospital | Operational/Managerial Control | Nov 16, 2010 |
| Kaiser Foundation Hospital-Roseville |
Hospital | Operational/Managerial Control | Jan 1, 1966 |
| Kaiser Foundation Hospital-Westside |
Hospital | Operational/Managerial Control | Nov 9, 2012 |
| Kaiser Foundation Hospital-San Leandro |
Hospital | Operational/Managerial Control | Jun 3, 2014 |
| St Josephs Behavioral Health Center |
Hospital | 5% Or Greater Direct Ownership Interest (20%) | May 1, 2016 |
| St Josephs Medical Center of Stockton |
Hospital | 5% Or Greater Indirect Ownership Interest (20%) | Jun 1, 2016 |
| Lanai Community Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 24, 2015 |
| Maui Memorial Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2017 |
| Kula Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 24, 2015 |
| Kula Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 24, 2015 |
| Kaiser Foundation Hospital San Marcos |
Hospital | Operational/Managerial Control | Jul 10, 2023 |
| Lanai Community Hospital Skilled Nursing and Intermediate Care Facilit |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Dec 24, 2015 Dec 24, 2015 |
| Kula Skilled Nursing and Intermediate Care Facility |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Dec 24, 2015 Jan 1, 2017 |
| Kaiser Permanente Hospital Home Health Santa Rosa |
Home health agency | Operational/Managerial Control (100%) | Jun 15, 1993 |
| KFH Home Health Agency - Oahu |
Home health agency | Operational/Managerial Control (100%) | Oct 11, 1993 |
| Kaiser Permanente Hospital Home Health - Sacramento |
Home health agency | Operational/Managerial Control | Jul 6, 2015 |
| Kaiser Foundation Hospital Los Angeles HHA |
Home health agency | Operational/Managerial Control (100%) | Jan 19, 2015 |
| Kaiser Riverside Home Health Agency (Parent) |
Home health agency | Operational/Managerial Control (100%) | Apr 13, 1989 |
| Kaiser Permanente Hospital Tri Central HHA |
Home health agency | Operational/Managerial Control (100%) | Jan 1, 1966 |
| Kaiser Foundation Hospital-Home Health Agency |
Home health agency | Operational/Managerial Control (100%) | Oct 8, 2007 |
| Kaiser Foundation Hospital Anaheim HHA |
Home health agency | Operational/Managerial Control | May 1, 2002 |
| Kaiser Foundation Hospital Home Health - Oakland |
Home health agency | Operational/Managerial Control (100%) | Aug 4, 2017 |
| Kaiser Permanente Hospital Home Health Martinez |
Home health agency | Operational/Managerial Control (100%) | Jan 2, 1998 |
| Kaiser Permanente Continuing Care Services Home Health |
Home health agency | Operational/Managerial Control (100%) | Jan 1, 1978 |
| Kaiser Foundation Hospital HHA Santa Clara |
Home health agency | Operational/Managerial Control (100%) | May 1, 1991 |
| Kaiser Foundation Hospital Home Health Vallejo |
Home health agency | Operational/Managerial Control | Jan 1, 1998 |
| Kaiser Foundation Hospital Home Health San Francisco |
Home health agency | Operational/Managerial Control (100%) | Aug 1, 1966 |
| Kaiser Foundation Hospital San Diego HHA |
Home health agency | Operational/Managerial Control (100%) | Jul 1, 1983 |
| Kaiser Permanente Hospital Home Health Novato |
Home health agency | Operational/Managerial Control (100%) | Jan 1, 1990 |
| Kaiser Permanente Home Health Agency Mau |
Home health agency | Operational/Managerial Control | Jan 1, 1966 |
| Kaiser Foundation Hospital Valleys Continuing Care-HHA |
Home health agency | Operational/Managerial Control | Dec 16, 1994 |
| St Josephs Medical Center Home Health |
Home health agency | 5% Or Greater Indirect Ownership Interest (20%) | Jun 1, 2016 |
| Kaiser Permanente Hospital Sacramento Hospice |
Hospice | Operational/Managerial Control | Feb 14, 1989 |
| Kaiser Permanente Hospital Hospice Program |
Hospice | Operational/Managerial Control (100%) | Dec 13, 1996 |
| Kaiser Foundation Hospital Hospice Oakland |
Hospice | Operational/Managerial Control (100%) | Jan 1, 1966 |
| Kaiser Permanente Hospital San Diego Hospice |
Hospice | Operational/Managerial Control (100%) | Jul 13, 2009 |
| Kaiser Permanente Continuing Care Services Hospice |
Hospice | Operational/Managerial Control (100%) | Jan 1, 1978 |
| Kaiser Permanente Hospital Hospice - Martinez |
Hospice | Operational/Managerial Control (100%) | Jan 1, 1966 |
| Kaiser Foundation Hospital Hospice-Santa Clara |
Hospice | Operational/Managerial Control (100%) | Mar 18, 1998 |
| Kaiser Foundation Hospital Hospice Vallejo |
Hospice | Operational/Managerial Control | Jan 1, 1966 |
| Kaiser Permanente Hospital San Francisco Hospice |
Hospice | Operational/Managerial Control (100%) | Sep 1, 1990 |
| Kaiser Foundation Hospital Hospice Hayward |
Hospice | Operational/Managerial Control (100%) | Feb 19, 1989 |
| Kaiser Foundation Hospital Los Angeles - Hospice |
Hospice | Operational/Managerial Control | Feb 2, 1987 |
| Kaiser Permanente Hospital Fontana Hospice |
Hospice | Operational/Managerial Control | Oct 8, 2007 |
| Kaiser Permanente Hospital Riverside Hospice |
Hospice | Operational/Managerial Control | Jan 1, 1966 |
| Kaiser Orange County Hospice |
Hospice | Operational/Managerial Control | Dec 12, 2011 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081121000095 | CA | Part a Provider - Hospice | 6800707456 | Practice locations: Lancaster, CA; Woodland Hills, CA |
National Provider Directory
- Tax ID family
- Kaiser Foundation
Locations
10605 Balboa Blvd
Ste 330
Granada Hills, CA 91344
Phone (818) 832-7272
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 980000511 | CA | Yes |
Addresses
Primary practice location
10605 Balboa Blvd
Suite 330
Granada Hills, CA 91344-6342
Mailing address
10605 Balboa Blvd
Suite 330
Granada Hills, CA 91344-6342
Phone (818) 832-7422
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HPC01521F | Medicaid | CA |
Other names
- Kaiser Foundation Hospital Valleys Continuing Care - Hospice
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondingg | Health Information Exchange (HIE) |
Other providers in Granada Hills, CA
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- Daee Jung
- Edward Jung
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- Saif Kabir
- Kaiser Foundation Hospitals
- Kamashians Pharmacy Inc
- Daniel Si Jung Kang
- Elise Kaplan
- Sharis Karapetian
All providers in Granada Hills, CA · Community Based Hospice Care Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.