Kaiser Foundation Hospitals

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

110000213 Issued in CA

Legal business name

KAISER FOUNDATION HOSPITALS

Doing business as

Kaiser Foundation Hospital Santa Rosa

Practice address

401 Bicentennial Way
Santa Rosa, CA 95403-2149

Phone

(707) 393-4000

NPI assigned

Nov 7, 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

Judith L Coffey

Title

Senior Vice President, Area Manager

Phone

(707) 571-4222

Specialties & licenses 1

Addresses

Other names 1

• Kaiser Foundation Hospital Santa Rosa 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 1407925928. Details of each certification follow.

• CCN 050690 Hospital · Active · Details

Hospital certification: CCN 050690

Legal name

KAISER FOUNDATION HOSPITALS

Doing business as

KAISER FOUNDATION HOSPITAL - SANTA ROSA

Certification status

Active

Provider type (POS)

Hospital – Short-term

Participating since

Apr 18, 1990

Last certification

Apr 10, 2025

Beds

173

Ownership / control type

Private (not for profit)

Organization structure

CorporationNon-profit

Incorporated

Feb 19, 1948 in CA

Enrollment address

3975 Old Redwood Hwy
Ste 251
Santa Rosa, CA 95403-1719
Other Hospital Practice Location

Hospital subgroups

Acute care

Listed as

Kaiser Foundation Hospital-Santa RosaCCN 050690 · All quality measures

Overall star rating

3 of 5

Type

Acute Care Hospitals

Ownership

Voluntary non-profit - Private

Medicare certification status

ActiveFrom the Provider of Services file

Emergency services

Yes

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

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

  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
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital - Fontana (Ontario ESRD)

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Ontario, CA
  • NPI 1396027181
  NPD tax ID
• Kaiser Foundation Hospitals

  • Community/Retail Pharmacy
  • San Diego, CA
  • NPI 1396893111
  NPD tax ID
• Kaiser Foundation Hospitals

  • Institutional Pharmacy
  • Los Angeles, CA
  • NPI 1407903727
  NPD tax ID

All disclosed owners & managing parties 18

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.

• Patricia Anne Mazzetti Hiserote, D.O.

  • Family Medicine Physician
  • Santa Rosa, CA
  • NPI 1821002593

  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 191

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

• Eduardo Alvarado, MD

  • Student in an Organized Health Care Education/Training Program
  • Santa Rosa, CA
  • NPI 1205412897

  Hospital

  Care Compare affiliation
• Elizabeth Au, M.D.

  • Student in an Organized Health Care Education/Training Program
  • San Francisco, CA
  • NPI 1902148091

  Hospital

  Care Compare affiliation
• Daniel Ayala-Ortiz

  • Student in an Organized Health Care Education/Training Program
  • Santa Rosa, CA
  • NPI 1578918744

  Hospital

  Care Compare affiliation
• Robert Reyes Azcarraga, MD

  • Family Medicine Physician
  • Healdsburg, CA
  • NPI 1477548709

  Hospital

  Care Compare affiliation
• Nana Ama Barnes, MD

  • Internal Medicine Physician
  • Rohnert Park, CA
  • NPI 1063900520

  Hospital

  Care Compare affiliation
• Jeffrey M Baumgardner, MD

  • Gastroenterology Physician
  • San Francisco, CA
  • NPI 1851533574

  Hospital

  Care Compare affiliation
• Adam Stone Bellinger

  • Urology Physician
  • Manteca, CA
  • NPI 1366603789

  Hospital

  Care Compare affiliation
• Hemalatha Bhamidi, DO

  • Internal Medicine Physician
  • Los Gatos, CA
  • NPI 1225533219

  Hospital

  Care Compare affiliation
• Karendip Kaur Braich, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Fremont, CA
  • NPI 1104269224

  Hospital

  Care Compare affiliation
• Miguel Cabarrus, M.D.

  • Diagnostic Radiology Physician
  • San Francisco, CA
  • NPI 1962760371

  Hospital

  Care Compare affiliation
• Tiffany A. Camarillo, MD

  • Anatomic Pathology Physician
  • Santa Rosa, CA
  • NPI 1396819611

  Hospital

  Care Compare affiliation
• Alejandro Saul Casillas, M.D.

  • Emergency Medicine Physician
  • Ukiah, CA
  • NPI 1376707919

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1407925928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 BICENTENNIAL WAY",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032149",
            "telephone_number": "707-393-4000",
            "fax_number": "707-393-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BICENTENNIAL WAY",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032149",
            "telephone_number": "707-393-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER FOUNDATION HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "COFFEY",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT, AREA MANAGER",
        "authorized_official_telephone_number": "707-571-4222"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "110000213",
            "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": "401 Bicentennial Way",
            "city": "Santa Rosa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "954032149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kaiser Foundation Hospital Santa Rosa",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kaiser Foundation Hospital Santa Rosa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaiser Foundation Health Plan Inc
• Kaiser Foundation Health Plan Inc (Kaiser Pharmacy 1 West Pharmacy 581)
• Kaiser Foundation Health Plan Inc (Kaiser Permanente Pharmacy #587)
• Kaiser Foundation Hospitals (Kaiser Found Hospital Phy #58B)
• Kaiser Foundation Hospitals (Kaiser Foundation Hospital Home Health Santa Rosa)
• Kaiser Foundation Hospitals (Kaiser Foundationn Hospital Inp/Out Hospital Pharmacy 58a 58)
• Kaiser Permanente
• Christine Kaiser, M.D.
• Elizabeth A. Kaiser, RN, PHN
• Jennifer Ann Kaiser, PHARMD

• General Acute Care Hospital in Santa Rosa, CA
• Providers in Santa Rosa, 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.