NPIMap

Organization Active NPI

Kentfield and San Francisco Specialty Hospital Inc

Doing business as Kentfield Hospital San Francisco

  • Long Term Care Hospital
  • San Francisco, CA
National Provider Identifier
1619758539
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
Legal business name
KENTFIELD AND SAN FRANCISCO SPECIALTY HOSPITAL INC
Doing business as
Kentfield Hospital San Francisco
Practice address
450 Stanyan St FL 6
San Francisco, CA 94117-1019
Phone
(415) 456-9680
Fax
(209) 248-7825
NPI assigned
Oct 6, 2023
Last updated
Oct 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Authorized official

Name
Mrs. Tammy Thompson
Title
Cfo/VP Finance
Phone
(209) 287-6308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X Primary

Addresses

Primary practice location

450 Stanyan St FL 6
San Francisco, CA 94117-1019

Mailing address

700 17TH St Ste 205
Modesto, CA 95354-1249
Phone (209) 287-6308

Other names 1

  • KENTFIELD HOSPITAL SAN FRANCISCO Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231215001894 CA Part A Provider - Hospital 5597114553 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kentfield, CA; San Francisco, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619758539. Details of each certification follow.

Hospital certification: CCN 052043

Legal name
KENTFIELD AND SAN FRANCISCO SPECIALTY HOSPITAL INC
Doing business as
KENTFIELD HOSPITAL / KENTFIELD HOSPITAL SAN FRANCISCO
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Jul 1, 1999
Last certification
Oct 24, 2025
Beds
120 (42 certified)
Ownership / control type
Private (for profit)
Most recent change of ownership
Sep 6, 2023 (2 total)
Organization structure
CorporationProprietary
Incorporated
Aug 17, 2023 in CA
Enrollment address
1125 Sir Francis Drake Blvd
Kentfield, CA 94904-1418
Other Hospital Practice Location
Hospital subgroups
Long-term

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Kentfield HospitalCCN 052043 · All quality measures
Ownership
For profit
Certified
Jul 1, 1999
Medicare certification status
ActiveFrom the Provider of Services file
Beds
120

National Provider Directory

National Provider Directory
Tax ID family
Kentfield and San Francisco Specialty Hospital Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Gurpreet Singh Randhawa Individual 5% Or Greater Direct Ownership InterestCeo Sep 6, 2023 100%
Corporate OfficerCeo Sep 6, 2023 100%
Operational/Managerial ControlCeo Sep 6, 2023 100%
Shamsher Bhullar Individual Corporate OfficerVice President-Operations Sep 6, 2023
Corporate DirectorVice President-Operations Sep 6, 2023
Operational/Managerial ControlVice President-Operations Sep 6, 2023
Tammy Thompson Individual Corporate OfficerChief Financial Officer Sep 6, 2023
Corporate DirectorVice President Finance Sep 6, 2023
Operational/Managerial ControlChief Financial Officer Sep 6, 2023

Owners & managing parties with NPI records 1

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

  • Gurpreet Singh, MD
    • Gastroenterology Physician
    • Turlock, CA
    • NPI 1194780999

    5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control

    CMS ownership

Practitioners & affiliated clinicians

Affiliated clinicians 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1619758539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 17TH ST STE 205",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953541249",
            "telephone_number": "209-287-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 STANYAN ST FL 6",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171019",
            "telephone_number": "415-456-9680",
            "fax_number": "209-248-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTFIELD AND SAN FRANCISCO SPECIALTY HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-06",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "CFO/VP FINANCE",
        "authorized_official_telephone_number": "209-287-6308",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KENTFIELD HOSPITAL SAN FRANCISCO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.