NPIMap

Organization Active NPI

El Camino Hospital

  • General Acute Care Hospital
  • Los Gatos, CA
National Provider Identifier
1457594087
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
070000660 Issued in DE
Legal business name
EL CAMINO HOSPITAL
Practice address
555 Knowles Dr
Suite #100
Los Gatos, CA 95032-1549
Phone
(650) 940-7000
NPI assigned
Apr 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ming-Rong Chen Woo
Title
Director Rev & Reimb
Phone
(650) 940-7247

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 070000660 DE Primary

Addresses

Primary practice location

555 Knowles Dr
Suite #100
Los Gatos, CA 95032-1549

Mailing address

2500 Grant Rd
Mountain View, CA 94040-4302
Phone (650) 940-7000

Other identifiers 7

IdentifierTypeStateIssuer
HSP30308HMedicaidCA
HSC30308HMedicaidCA
HSP40308HMedicaidCA
LTC55593FMedicaidCA
ZZZA43042OtherCABLUE SHIELD
CDC02659GMedicaidCA
PBH35400MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071203000748 CA Part A Provider - Hospital 0042239238 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mountain View, CA; Los Gatos, CA

Hospital certification: CCN 050308

Legal name
EL CAMINO HOSPITAL
Doing business as
EL CAMINO HEALTH
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jan 24, 2025
Beds
471
Ownership / control type
Hospital district or authority
Organization structure
CorporationNon-profit
Incorporated
Nov 16, 1992 in CA
Enrollment address
2500 Grant Rd
Mountain View, CA 94040-4302
Hospital subgroups
Acute care

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

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
El Camino HealthCCN 050308
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
El Camino Hospital-SNF7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Daniel Woods Individual Corporate OfficerChief Executive Officer Aug 30, 2017 100%
Bob Scott Rebitzer Individual Corporate DirectorBoard Director Jul 1, 2017
Julie Ann Kliger Individual Corporate DirectorBoard Director Jan 16, 2018
Ming Jack PO Individual Corporate DirectorBoard Director Jul 1, 2019
John Zoglin Individual Corporate DirectorBoard Director Nov 13, 2007
Don C Watters Individual Corporate DirectorBoard Director May 21, 2019
Robert Flores Individual Corporate DirectorDir - Net Revenue & Reimbursement Mar 20, 2025 1%
Lanhee Chen Individual Corporate DirectorBoard Director Jul 1, 2015
Julia Miller Individual Corporate DirectorBoard Director Dec 10, 2012
Cheryl Lynn Reinking Individual W-2 Managing EmployeeChief Nurse Officer Jul 1, 2013
George Oscar Ting Individual Corporate DirectorBoard Director Dec 5, 2018
Carlos a Bohorquez Individual W-2 Managing EmployeeChief Financial Officer Sep 8, 2020
Peter C Fung Individual Corporate DirectorBoard Director Dec 5, 2014

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 1,154

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

View all 1,154

NPI Registry JSON

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1457594087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 GRANT RD",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404302",
            "telephone_number": "650-940-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 KNOWLES DR",
            "address_2": "SUITE #100",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321549",
            "telephone_number": "650-940-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL CAMINO HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-13",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "WOO",
        "authorized_official_first_name": "MING-RONG",
        "authorized_official_middle_name": "CHEN",
        "authorized_official_title_or_position": "DIRECTOR REV & REIMB",
        "authorized_official_telephone_number": "650-940-7247"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "DE",
            "license": "070000660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP30308H",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSC30308H",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP40308H",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55593F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZA43042",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CDC02659G",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PBH35400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.