Organization Active NPI

Kaiser Foundation Hospitals

Doing business as Kaiser Foundation Hospital - Baldwin Park

  • General Acute Care Hospital
  • Baldwin Park, CA
National Provider Identifier
1477608271
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
930000920 Issued in CA
Legal business name
KAISER FOUNDATION HOSPITALS
Doing business as
Kaiser Foundation Hospital - Baldwin Park
Practice address
1011 Baldwin Park Blvd
Baldwin Park, CA 91706-5806
Phone
(626) 851-1011
Fax
(626) 851-5433
NPI assigned
Jan 24, 2007
Last updated
Apr 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Authorized official

Name
Margaret H Pierce
Title
Executive Director
Phone
(626) 851-6801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 930000920 CA Primary

Addresses

Primary practice location

1011 Baldwin Park Blvd
Baldwin Park, CA 91706-5806

Mailing address

1011 Baldwin Park Blvd
Baldwin Park, CA 91706-5806
Phone (626) 851-1011

Other identifiers 6

IdentifierTypeStateIssuer
50723OtherCABLUE CROSS
ZZZA1909AOtherCABLUE SHIELD
050723B000000OtherCADHS - SECTION 1011
339040903OtherCAUSDOL
HSP30723FMedicaidCA
HSP402723FMedicaidCA

Other names 1

  • Kaiser Foundation Hospital - Baldwin Park Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondingg Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081006000641 CA Part A Provider - Hospital 6800707456 Practice locations: Baldwin Park, CA; Irwindale, CA
O20210208002859 CA Part B Supplier - Mass Immunization (Roster Biller Only) 6800707456 1 other NPI on this enrollment
Practice locations: Irwindale, CA; Pomona, CA; San Francisco, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1477608271. Details of each certification follow.

Hospital certification: CCN 050723

Legal name
KAISER FOUNDATION HOSPITALS
Doing business as
KAISER FOUNDATION HOSPITAL BALDWIN PARK
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jan 27, 1999
Last certification
Dec 3, 2021
Beds
269
Ownership / control type
Other
Organization structure
CorporationNon-profit
Incorporated
Feb 19, 1948 in CA
Enrollment address
1011 Baldwin Park Blvd
Baldwin Park, CA 91706-5806
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Kaiser Foundation Hospital - Baldwin ParkCCN 050723 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory

Ownership & related parties

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.

NameRoleSinceShare
David J Barger Individual Corporate DirectorBoard Member May 1, 2017 100%
Margaret E Porfido Individual Corporate DirectorBoard Member Nov 1, 2011 100%
Jenny Ming Individual Corporate DirectorBoard Member Jul 6, 2021
Richard P Shannon Individual Corporate DirectorBoard Member Jul 1, 2014 100%
Regina M Benjamin Individual Corporate DirectorBoard Member Jun 1, 2015 100%
Michelle J Gaskill-Hames Individual Corporate OfficerRegional President, Southern Ca Sep 18, 2023
Judith a Johansen Individual Corporate DirectorBoard Member Apr 1, 2006 100%
Eugene Cho Individual Corporate OfficerSenior VP & Area Manager Jul 1, 2019 100%
W-2 Managing EmployeeSenior VP & Area Manager Jul 1, 2019 100%
Operational/Managerial ControlSenior VP & Area Manager Jul 1, 2019 100%
Douglas a Lemieux Individual W-2 Managing EmployeeSr Director, NMF Jul 8, 2018
David F Hoffmeister Individual Corporate DirectorBoard Member Nov 1, 2014 100%
Kaiser Foundation Hospitals Organization, Oakland, CA Operational/Managerial Control Feb 19, 1948
Arnold Eugene Washington Individual Corporate DirectorBoard Member Jan 4, 2016 100%
Ines Gaeta Individual Operational/Managerial ControlController & Executive Director Apr 4, 2022
Jeffrey E Epstein Individual Corporate DirectorBoard Member Apr 1, 2013 100%
Ramon F Baez Individual Corporate DirectorBoard Member Jun 4, 2016 100%
Gregory a Adams Individual Corporate OfficerChairman & Ceo Nov 11, 2019 100%
Matthew T Ryan Individual Corporate DirectorBoard Memeber Jan 1, 2020 100%
Leslie S Heisz Individual Corporate DirectorBoard Member Jan 1, 2015 100%

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 79

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kaiser Sunnyside Medical CenterClackamas, OR, CCN 380091 Hospital Operational/Managerial Control (100%) Jan 5, 2007
Kaiser Foundation Hospital - Santa ClaraSanta Clara, CA, CCN 050071 Hospital Operational/Managerial Control (100%) Jul 24, 2007
Kaiser Foundation Hospital - MantecaManteca, CA, CCN 050748 Hospital Operational/Managerial Control (100%) Nov 1, 2004
Kaiser Foundation Hospital Los AngelesLos Angeles, CA, CCN 050138 Hospital Operational/Managerial Control (100%) Jul 1, 1966
Kaiser Foundation Hospitals - Orange County - AnaheimAnaheim, CA, CCN 050609 Hospital Operational/Managerial Control (100%) May 1, 1979
Kaiser Foundation Hospital - AntiochAntioch, CA, CCN 050760 Hospital Operational/Managerial Control (100%) Apr 27, 2007
Kaiser Foundation Hospital - Santa RosaSanta Rosa, CA, CCN 050690 Hospital Operational/Managerial Control (100%) Apr 18, 1990
Kaiser Foundation Hospital - SacramentoSacramento, CA, CCN 050425 Hospital Operational/Managerial Control (100%) Jul 1, 1966
Kaiser Foundation Hospital-RiversideRiverside, CA, CCN 050686 Hospital Operational/Managerial Control (100%) Sep 11, 1989
Kaiser Foundation Hospital Oakland RichmondOakland, CA, CCN 050075 Hospital Operational/Managerial Control (100%) Jan 1, 1966
Kaiser Foundation Hospital San JoseSan Jose, CA, CCN 050604 Hospital Operational/Managerial Control (100%) Dec 1, 1976
Kaiser Foundation Hospital - Moreno ValleyMoreno Valley, CA, CCN 050765 Hospital Operational/Managerial Control (100%) Dec 18, 2008
Kaiser Foundation Hospital - VallejoVallejo, CA, CCN 050073 Hospital Operational/Managerial Control (100%) Jan 1, 1966
Kaiser Foundation Hospital - VallejoVallejo, CA, CCN 05T073 Hospital Operational/Managerial Control (100%) Jan 1, 1966
Kaiser Foundation Hospital - FontanaFontana, CA, CCN 050140 Hospital Operational/Managerial Control (100%) Nov 2, 2007
Kaiser Foundation Hospital-DowneyDowney, CA, CCN 050139 Hospital Operational/Managerial Control (100%) Jan 1, 1966
Kaiser Foundation Hospital San DiegoSan Diego, CA, CCN 050515 Hospital Operational/Managerial Control (100%) Jul 13, 2009
Kaiser Foundation Hospital Walnut CreekWalnut Creek, CA, CCN 050072 Hospital Operational/Managerial Control Jul 1, 1966
Kaiser Foundation Hospital Woodland HillsWoodland Hills, CA, CCN 050677 Hospital Operational/Managerial Control Jan 1, 1966
Kaiser Foundation Hospital Panorama CityPanorama City, CA, CCN 050137 Hospital Operational/Managerial Control Jan 1, 1966
Kaiser Foundation Hospital FresnoFresno, CA, CCN 050710 Hospital Operational/Managerial Control Feb 28, 1995
Kaiser Foundation Hospital-South BayHarbor City, CA, CCN 050411 Hospital Operational/Managerial Control Jan 1, 1966
Kaiser Foundation Hospital San FranciscoSan Francisco, CA, CCN 050076 Hospital Operational/Managerial Control Jan 1, 1966
Kaiser Foundation Hospital West Los AngelesLos Angeles, CA, CCN 050561 Hospital Operational/Managerial Control Jan 1, 1966
Kaiser Foundation Hospital South San FranciscoSouth San Francisco, CA, CCN 050070 Hospital Operational/Managerial Control Jan 1, 1996
Kaiser Foundation Hospital South SacramentoSacramento, CA, CCN 050674 Hospital Operational/Managerial Control (100%) Jan 1, 1966
Kaiser Foundation Hospital San RafaelSan Rafael, CA, CCN 050510 Hospital Operational/Managerial Control Jul 1, 1966
Kaiser Foundation Hospital - Redwood CityRedwood City, CA, CCN 050541 Hospital Operational/Managerial Control Jul 1, 1966
Kaiser Foundation HospitalHonolulu, HI, CCN 120011 Hospital Operational/Managerial Control Jul 1, 1966
Kaiser Foundation Hospital Los AngelesLos Angeles, CA, CCN 05S138 Hospital Operational/Managerial Control Jul 1, 1966
Kaiser Foundation Hospital-FremontFremont, CA, CCN 050512 Hospital Operational/Managerial Control Jan 1, 1966
Kaiser Foundation Hospital-VacavilleVacaville, CA, CCN 050767 Hospital Operational/Managerial Control (100%) Sep 16, 2009
Kaiser Permanente Psyciatric Health Facility - Santa ClaraSanta Clara, CA, CCN 054150 Hospital Operational/Managerial Control Nov 16, 2010
Kaiser Foundation Hospital-RosevilleRoseville, CA, CCN 050772 Hospital Operational/Managerial Control Jan 1, 1966
Kaiser Foundation Hospital-WestsideHillsboro, OR, CCN 380103 Hospital Operational/Managerial Control Nov 9, 2012
Kaiser Foundation Hospital-San LeandroSan Leandro, CA, CCN 050777 Hospital Operational/Managerial Control Jun 3, 2014
St Josephs Behavioral Health CenterStockton, CA, CCN 054123 Hospital 5% Or Greater Direct Ownership Interest (20%) May 1, 2016
St Josephs Medical Center of StocktonStockton, CA, CCN 050084 Hospital 5% Or Greater Indirect Ownership Interest (20%) Jun 1, 2016
Lanai Community HospitalLanai City, HI, CCN 121305 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 24, 2015
Maui Memorial Medical CenterWailuku, HI, CCN 120002 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2017
Kula HospitalKula, HI, CCN 121308 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 24, 2015
Kula HospitalKula, HI, CCN 12Z308 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 24, 2015
Kaiser Foundation Hospital San MarcosSan Marcos, CA, CCN 050855 Hospital Operational/Managerial Control Jul 10, 2023
Lanai Community Hospital Skilled Nursing and Intermediate Care FacilitLanai City, HI, CCN 125023 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 FacilityKula, HI, CCN 125003 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 RosaSanta Rosa, CA, CCN 057407 Home health agency Operational/Managerial Control (100%) Jun 15, 1993
KFH Home Health Agency - OahuHonolulu, HI, CCN 127022 Home health agency Operational/Managerial Control (100%) Oct 11, 1993
Kaiser Permanente Hospital Home Health - SacramentoSacramento, CA, CCN 557061 Home health agency Operational/Managerial Control Jul 6, 2015
Kaiser Foundation Hospital Los Angeles HHAPasadena, CA, CCN 057053 Home health agency Operational/Managerial Control (100%) Jan 19, 2015
Kaiser Riverside Home Health Agency (Parent)Corona, CA, CCN 557037 Home health agency Operational/Managerial Control (100%) Apr 13, 1989
Kaiser Permanente Hospital Tri Central HHADowney, CA, CCN 057794 Home health agency Operational/Managerial Control (100%) Jan 1, 1966
Kaiser Foundation Hospital-Home Health AgencyFontana, CA, CCN 058068 Home health agency Operational/Managerial Control (100%) Oct 8, 2007
Kaiser Foundation Hospital Anaheim HHATustin, CA, CCN 057799 Home health agency Operational/Managerial Control May 1, 2002
Kaiser Foundation Hospital Home Health - OaklandOakland, CA, CCN 557068 Home health agency Operational/Managerial Control (100%) Aug 4, 2017
Kaiser Permanente Hospital Home Health MartinezMartinez, CA, CCN 557012 Home health agency Operational/Managerial Control (100%) Jan 2, 1998
Kaiser Permanente Continuing Care Services Home HealthPortland, OR, CCN 387007 Home health agency Operational/Managerial Control (100%) Jan 1, 1978
Kaiser Foundation Hospital HHA Santa ClaraSanta Clara, CA, CCN 557066 Home health agency Operational/Managerial Control (100%) May 1, 1991
Kaiser Foundation Hospital Home Health VallejoVallejo, CA, CCN 557062 Home health agency Operational/Managerial Control Jan 1, 1998
Kaiser Foundation Hospital Home Health San FranciscoSan Francisco, CA, CCN 057071 Home health agency Operational/Managerial Control (100%) Aug 1, 1966
Kaiser Foundation Hospital San Diego HHASan Diego, CA, CCN 057797 Home health agency Operational/Managerial Control (100%) Jul 1, 1983
Kaiser Permanente Hospital Home Health NovatoNovato, CA, CCN 557065 Home health agency Operational/Managerial Control (100%) Jan 1, 1990
Kaiser Permanente Home Health Agency MauWailuku, HI, CCN 127023 Home health agency Operational/Managerial Control Jan 1, 1966
Kaiser Foundation Hospital Valleys Continuing Care-HHAWoodland Hills, CA, CCN 057795 Home health agency Operational/Managerial Control Dec 16, 1994
St Josephs Medical Center Home HealthStockton, CA, CCN 057212 Home health agency 5% Or Greater Indirect Ownership Interest (20%) Jun 1, 2016
Kaiser Permanente Hospital Sacramento HospiceSacramento, CA, CCN 051546 Hospice Operational/Managerial Control Feb 14, 1989
Kaiser Permanente Hospital Hospice ProgramDowney, CA, CCN 051504 Hospice Operational/Managerial Control (100%) Dec 13, 1996
Kaiser Foundation Hospital Hospice OaklandOakland, CA, CCN 051551 Hospice Operational/Managerial Control (100%) Jan 1, 1966
Kaiser Permanente Hospital San Diego HospiceSan Diego, CA, CCN 051522 Hospice Operational/Managerial Control (100%) Jul 13, 2009
Kaiser Permanente Continuing Care Services HospicePortland, OR, CCN 381502 Hospice Operational/Managerial Control (100%) Jan 1, 1978
Kaiser Permanente Hospital Hospice - MartinezMartinez, CA, CCN 051552 Hospice Operational/Managerial Control (100%) Jan 1, 1966
Kaiser Foundation Hospital Hospice-Santa ClaraSanta Clara, CA, CCN 051589 Hospice Operational/Managerial Control (100%) Mar 18, 1998
Kaiser Foundation Hospital Hospice VallejoVallejo, CA, CCN 051565 Hospice Operational/Managerial Control Jan 1, 1966
Kaiser Foundation Hospital Valleys Continuing Care-HospiceLancaster, CA, CCN 051521 Hospice Operational/Managerial Control Jan 1, 1966
Kaiser Permanente Hospital San Francisco HospiceSan Francisco, CA, CCN 051582 Hospice Operational/Managerial Control (100%) Sep 1, 1990
Kaiser Foundation Hospital Hospice HaywardUnion City, CA, CCN 051556 Hospice Operational/Managerial Control (100%) Feb 19, 1989
Kaiser Foundation Hospital Los Angeles - HospicePasadena, CA, CCN 051525 Hospice Operational/Managerial Control Feb 2, 1987
Kaiser Permanente Hospital Fontana HospiceFontana, CA, CCN 051515 Hospice Operational/Managerial Control Oct 8, 2007
Kaiser Permanente Hospital Riverside HospiceCorona, CA, CCN 551743 Hospice Operational/Managerial Control Jan 1, 1966
Kaiser Orange County HospiceTustin, CA, CCN 551634 Hospice Operational/Managerial Control Dec 12, 2011

Facilities with the same owner 78

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 78

Practitioners & affiliated clinicians

Affiliated clinicians 331

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

View all 331

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1477608271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 BALDWIN PARK BLVD",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917065806",
            "telephone_number": "626-851-1011",
            "fax_number": "626-851-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 BALDWIN PARK BLVD",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917065806",
            "telephone_number": "626-851-1011",
            "fax_number": "626-851-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER FOUNDATION HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "626-851-6801"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "930000920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "50723",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZA1909A",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHS - SECTION 1011",
            "identifier": "050723B000000",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USDOL",
            "identifier": "339040903",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP30723F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP402723F",
            "state": "CA"
        }
    ],
    "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": "1011 Baldwin Park Blvd",
            "city": "Baldwin Park",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917065806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kaiser Foundation Hospital - Baldwin Park",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kaiser Foundation Hospital - Baldwin Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baldwin Park, CA

Sources for this page

Verify at the official NPI Registry.