Kaiser Foundation Hospitals

Primary specialty

Rehabilitation Hospital UnitTaxonomy code 273Y00000X

License

110000026 Issued in CA

Legal business name

KAISER FOUNDATION HOSPITALS

Doing business as

Kaiser Foundation Hospital Vallejo Rehab Unit

Practice address

975 Sereno Dr
Vallejo, CA 94589-2441

Phone

(707) 651-1044

NPI assigned

Nov 21, 2006

Last updated

Apr 28, 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

Norair Jemjemian

Title

Senior Vice President/Area Manager

Phone

(707) 651-5414

Specialties & licenses 1

Addresses

Other names 1

• Kaiser Foundation Hospital Vallejo Rehab Unit 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 1467527176. Details of each certification follow.

• CCN 05T073 Hospital · Details

Hospital certification: CCN 05T073

Legal name

KAISER FOUNDATION HOSPITALS

Doing business as

KAISER FOUNDATION HOSPITAL - VALLEJO

Organization structure

CorporationNon-profit

Incorporated

Feb 19, 1948 in CA

Enrollment address

975 Sereno Dr
Vallejo, CA 94589-2441
Hospital Rehabilitation Unit

Hospital subgroups

Acute care, Rehabilitation unit

Related certifications (CCN) 1

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

• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital Vallejo

  • General Acute Care Hospital
  • Vallejo, CA
  • NPI 1366513509

  Unit of hospital

  Provider of Services

Listed as

Kaiser Foundation Rehab CenterCCN 05T073 · All quality measures

Ownership

Non-profit

Certified

Feb 11, 1993

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

  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
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital Santa Rosa

  • General Acute Care Hospital
  • Santa Rosa, CA
  • NPI 1407925928
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital Downey ESRD

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Downey, CA
  • NPI 1417002312
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital Martinez Outpatient Peritoneal Dialysis Ut.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Martinez, CA
  • NPI 1417280942
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Permanente Pharmacy No 166

  • Community/Retail Pharmacy
  • Fremont, CA
  • NPI 1447307772
  NPD tax ID
• Kaiser Foundation Hospitals

  • Community/Retail Pharmacy
  • Riverside, CA
  • NPI 1447308275
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Found Hospital Phrmcy #28B/282

  • Institutional Pharmacy
  • Folsom, CA
  • NPI 1447404025
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Foundation CPP Pharmacy 251

  • Mail Order Pharmacy
  • Livermore, CA
  • NPI 1457408783
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Found Hosp Pharmacy #49a

  • Institutional Pharmacy
  • Manteca, CA
  • NPI 1457409294
  NPD tax ID
• Kaiser Foundation Hospitals

  • Community/Retail Pharmacy
  • Anaheim, CA
  • NPI 1467500348
  NPD tax ID

All disclosed owners & managing parties 17

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 1

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

• 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 2

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

• Ryan Pham Doan, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Vallejo, CA
  • NPI 1568788834

  Inpatient rehabilitation facility

  Care Compare affiliation
• Melissa Christine Kelly, DO

  • Physical Medicine & Rehabilitation Physician
  • Vallejo, CA
  • NPI 1699129775

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1467527176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 SERENO DR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945892441",
            "telephone_number": "707-651-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 SERENO DR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945892441",
            "telephone_number": "707-651-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER FOUNDATION HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "JEMJEMIAN",
        "authorized_official_first_name": "NORAIR",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT/AREA MANAGER",
        "authorized_official_telephone_number": "707-651-5414"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "CA",
            "license": "110000026",
            "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": "975 Sereno Dr",
            "city": "Vallejo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945892441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kaiser Foundation Hospital Vallejo Rehab Unit",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kaiser Foundation Hospital Vallejo Rehab Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaiser Foundation Health Plan Inc (Kaiser Health Plan Mob 3 Phy 213)
• Kaiser Foundation Health Plan Inc (Kaiser Health Plan Mob 1 Phy 211)
• Kaiser Foundation Hospitals (Kaiser Permanente Pharmacy #215)
• Kaiser Foundation Hospitals (Kaiser Foundation Hospital Home Health Vallejo)
• Kaiser Foundation Hospitals (Kaiser Foundation Hospital Vallejo)
• Kaiser Foundation Hospitals (Kaiser FDN HSP Phy 21a)
• Kaiser Foundation Hospitals (Kaiser Foundation Hospital Hospice Vallejo)
• Kaiser Foundation Rehabilitation Center
• Kaiser Permanente
• Kaiser Permanente

• Rehabilitation Hospital Unit in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Rehabilitation Hospital Unit in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.