Kaiser Foundation Hospitals

Primary specialty

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

License

240000159 Issued in CA

Legal business name

KAISER FOUNDATION HOSPITALS

Doing business as

Kaiser Foundation Hospital - Fontana (Ontario ESRD)

Practice address

2295 S Vineyard Ave
Ontario, CA 91761-7925

Phone

(909) 724-5000

Fax

(909) 724-5691

NPI assigned

Sep 16, 2011

Last updated

Apr 14, 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

Gregory K Christian

Title

Executive Director

Phone

(909) 427-7701

Specialties & licenses 1

Addresses

Other names 1

• Kaiser Foundation Hospital - Fontana (Ontario ESRD) Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Kaiser Foundation Hospital Medical Ctr.- OntarioCCN 052404

Overall star rating

3.0 of 5

Ownership

Non-profit

Certified

Aug 6, 2014

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Kaiser Permanente

Dialysis stations

3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Daniel Gussin185 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
  • 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
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital Valleys Continuing Care - Hospice

  • Community Based Hospice Care Agency
  • Granada Hills, CA
  • NPI 1386799286
  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": "1316131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1396027181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2295 S VINEYARD AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917617925",
            "telephone_number": "909-724-5000",
            "fax_number": "909-724-5691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2295 S VINEYARD AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917617925",
            "telephone_number": "909-724-5000",
            "fax_number": "909-724-5691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER FOUNDATION HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-16",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "CHRISTIAN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "909-427-7701"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "CA",
            "license": "240000159",
            "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": "2295 S Vineyard Ave",
            "city": "Ontario",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917617925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kaiser Foundation Hospital - Fontana (Ontario ESRD)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kaiser Foundation Hospital - Fontana (Ontario ESRD)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Farrnam Harlang Kachouei, PHARMD
• Fauntazia Kahaleua Faaifo
• Fakatoukatea Lopa Kaifahina
• Kaiser Foundation Health Plan Inc
• Kaiser Foundation Health Plan Inc
• Kaiser Foundation Hospitals
• Kaiser Foundation Hospitals
• Meena Kakar, NP
• Lisa Marie Kakish
• Gabriel Edward Kalash, PHARMD

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Ontario, CA
• Providers in Ontario, CA by specialty
• 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.