Active NPI
Kaiser Foundation Hospitals
Doing business as Kaiser Foundation Hospital Walnut Creek
- General Acute Care Hospital
- Walnut Creek, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 140000290
- Legal business name
- KAISER FOUNDATION HOSPITALS
- Doing business as
- Kaiser Foundation Hospital Walnut Creek
- Practice address
- 1425 S Main St
Walnut Creek, CA 94596-5318 - Phone
- (925) 295-4000
- NPI assigned
- Nov 21, 2006
- Last updated
- Apr 20, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Colleen M McKeown
- Title
- Senior Vice President, Area Manager
- Phone
- (925) 295-5888
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 140000290 | CA | Primary |
Addresses
Primary practice location
1425 S Main St
Walnut Creek, CA 94596-5318
Mailing address
1425 S Main St
Walnut Creek, CA 94596-5318
Phone (925) 295-4000
Other names 1
- Kaiser Foundation Hospital Walnut Creek
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081105000065 | CA | Part A Provider - Hospital | 6800707456 | Practice locations: Dublin, CA; Walnut Creek, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1639244262. Details of each certification follow.
Hospital certification: CCN 050072
- Legal name
- KAISER FOUNDATION HOSPITALS
- Doing business as
- KAISER FOUNDATION HOSPITAL WALNUT CREEK
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Sep 20, 2013
- Beds
- 362
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation
- Incorporated
- Feb 19, 1948 in CA
- Enrollment address
- 1425 S Main St
Walnut Creek, CA 94596-5318 - Hospital subgroups
- Acute care
Care Compare: Hospital
Medicare Care Compare- Listed as
- Kaiser Foundation Hospital - Walnut Creek
- Overall star rating
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
National Provider Directory
National Provider Directory- Tax ID family
- Kaiser Foundation Hosp Phcy
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.
-
dba Kaiser Foundation Hospital - San Marcos
- General Acute Care Hospital
- San Marcos, CA
- NPI 1558080861
-
- Institutional Pharmacy
- Los Angeles, CA
- NPI 1568510170
-
dba Kaiser Foundation Hospital Pharmacy #10A
- Institutional Pharmacy
- Oakland, CA
- NPI 1568874873
-
dba Kaiser FDN HSP Inp/Out Dis Phy 63a 634
- Institutional Pharmacy
- San Jose, CA
- NPI 1578620837
-
dba Kaiser Foundation Hospital Anaheim Home Health AG.
- Home Health Agency
- Tustin, CA
- NPI 1588719579
-
dba Kaiser Foundation Hospital Valleys Continuing Care - HHA
- Home Health Agency
- Granada Hills, CA
- NPI 1598810509
-
dba Kaiser FDN HSP Annex Phy 354
- Community/Retail Pharmacy
- South San Francisco, CA
- NPI 1598813313
-
- Institutional Pharmacy
- San Jose, CA
- NPI 1609496215
-
dba Kaiser Permanente Pharmacy #358
- Community/Retail Pharmacy
- South San Francisco, CA
- NPI 1609924448
-
dba Outpatient Services - Peritoneal Dialysis at Kaiser Moreno Valley CAPD
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Moreno Valley, CA
- NPI 1619432598
-
dba Kaiser FDN HSP Phy 21a
- Institutional Pharmacy
- Vallejo, CA
- NPI 1629126412
-
dba Kaiser Foundation Hospital Woodland Hills ESRD
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Woodland Hills, CA
- NPI 1639224538
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| David J Barger | Corporate Director | May 1, 2017 | |
| Margaret E Porfido | Corporate Director | Nov 1, 2011 | |
| Jenny Ming | Corporate Director | Jul 6, 2021 | |
| Richard P Shannon | Corporate Director | Jul 1, 2014 | |
| Regina M Benjamin | Corporate Director | Jun 1, 2015 | |
| Judith a Johansen | Corporate Director | Apr 1, 2006 | |
| David F Hoffmeister | Corporate Director | Nov 1, 2014 | |
| Carrie a Owen Plietz | Corporate Officer | Nov 9, 2020 | |
| Kaiser Foundation Hospitals | Operational/Managerial Control | Jul 1, 1966 | |
| Arnold Eugene Washington | Corporate Director | Jan 4, 2016 | |
| Ines Gaeta | Operational/Managerial Control | Apr 4, 2022 | |
| Pamela Galley | Corporate Officer | Sep 17, 2023 | |
| W-2 Managing Employee | Sep 17, 2023 | ||
| Operational/Managerial Control | Sep 17, 2023 | ||
| Jeffrey E Epstein | Corporate Director | Apr 1, 2013 | |
| Ramon F Baez | Corporate Director | Jun 4, 2016 | |
| Gregory a Adams | Corporate Officer | Nov 11, 2019 | |
| Corporate Director | Nov 11, 2019 | ||
| Matthew T Ryan | Corporate Director | Jan 1, 2020 | |
| Leslie S Heisz | Corporate Director | Jan 1, 2015 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Bayou la Batre, AL
- NPI 1033188339
Corporate Director
All facility ownership & control disclosures 79
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Kaiser Sunnyside Medical Center | Hospital | Operational/Managerial Control (100%) | Jan 5, 2007 |
| Kaiser Foundation Hospital - Santa Clara | Hospital | Operational/Managerial Control (100%) | Jul 24, 2007 |
| Kaiser Foundation Hospital - Manteca | Hospital | Operational/Managerial Control (100%) | Nov 1, 2004 |
| Kaiser Foundation Hospital Los Angeles | Hospital | Operational/Managerial Control (100%) | Jul 1, 1966 |
| Kaiser Foundation Hospitals - Orange County - Anaheim | Hospital | Operational/Managerial Control (100%) | May 1, 1979 |
| Kaiser Foundation Hospital - Antioch | Hospital | Operational/Managerial Control (100%) | Apr 27, 2007 |
| Kaiser Foundation Hospital - Santa Rosa | Hospital | Operational/Managerial Control (100%) | Apr 18, 1990 |
| Kaiser Foundation Hospital - Sacramento | Hospital | Operational/Managerial Control (100%) | Jul 1, 1966 |
| Kaiser Foundation Hospital-Riverside | Hospital | Operational/Managerial Control (100%) | Sep 11, 1989 |
| Kaiser Foundation Hospital Oakland Richmond | Hospital | Operational/Managerial Control (100%) | Jan 1, 1966 |
| Kaiser Foundation Hospital San Jose | Hospital | Operational/Managerial Control (100%) | Dec 1, 1976 |
| Kaiser Foundation Hospital - Moreno Valley | Hospital | Operational/Managerial Control (100%) | Dec 18, 2008 |
| Kaiser Foundation Hospital - Vallejo | Hospital | Operational/Managerial Control (100%) | Jan 1, 1966 |
| Kaiser Foundation Hospital - Vallejo | Hospital | Operational/Managerial Control (100%) | Jan 1, 1966 |
| Kaiser Foundation Hospital Baldwin Park | Hospital | Operational/Managerial Control | Feb 19, 1948 |
| Kaiser Foundation Hospital - Fontana | Hospital | Operational/Managerial Control (100%) | Nov 2, 2007 |
| Kaiser Foundation Hospital-Downey | Hospital | Operational/Managerial Control (100%) | Jan 1, 1966 |
| Kaiser Foundation Hospital San Diego | Hospital | Operational/Managerial Control (100%) | Jul 13, 2009 |
| Kaiser Foundation Hospital Woodland Hills | Hospital | Operational/Managerial Control | Jan 1, 1966 |
| Kaiser Foundation Hospital Panorama City | Hospital | Operational/Managerial Control | Jan 1, 1966 |
| Kaiser Foundation Hospital Fresno | Hospital | Operational/Managerial Control | Feb 28, 1995 |
| Kaiser Foundation Hospital-South Bay | Hospital | Operational/Managerial Control | Jan 1, 1966 |
| Kaiser Foundation Hospital San Francisco | Hospital | Operational/Managerial Control | Jan 1, 1966 |
| Kaiser Foundation Hospital West Los Angeles | Hospital | Operational/Managerial Control | Jan 1, 1966 |
| Kaiser Foundation Hospital South San Francisco | Hospital | Operational/Managerial Control | Jan 1, 1996 |
| Kaiser Foundation Hospital South Sacramento | Hospital | Operational/Managerial Control (100%) | Jan 1, 1966 |
| Kaiser Foundation Hospital San Rafael | Hospital | Operational/Managerial Control | Jul 1, 1966 |
| Kaiser Foundation Hospital - Redwood City | Hospital | Operational/Managerial Control | Jul 1, 1966 |
| Kaiser Foundation Hospital | Hospital | Operational/Managerial Control | Jul 1, 1966 |
| Kaiser Foundation Hospital Los Angeles | Hospital | Operational/Managerial Control | Jul 1, 1966 |
| Kaiser Foundation Hospital-Fremont | Hospital | Operational/Managerial Control | Jan 1, 1966 |
| Kaiser Foundation Hospital-Vacaville | Hospital | Operational/Managerial Control (100%) | Sep 16, 2009 |
| Kaiser Permanente Psyciatric Health Facility - Santa Clara | Hospital | Operational/Managerial Control | Nov 16, 2010 |
| Kaiser Foundation Hospital-Roseville | Hospital | Operational/Managerial Control | Jan 1, 1966 |
| Kaiser Foundation Hospital-Westside | Hospital | Operational/Managerial Control | Nov 9, 2012 |
| Kaiser Foundation Hospital-San Leandro | Hospital | Operational/Managerial Control | Jun 3, 2014 |
| St Josephs Behavioral Health Center | Hospital | 5% Or Greater Direct Ownership Interest (20%) | May 1, 2016 |
| St Josephs Medical Center of Stockton | Hospital | 5% Or Greater Indirect Ownership Interest (20%) | Jun 1, 2016 |
| Lanai Community Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 24, 2015 |
| Maui Memorial Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2017 |
| Kula Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 24, 2015 |
| Kula Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 24, 2015 |
| Kaiser Foundation Hospital San Marcos | Hospital | Operational/Managerial Control | Jul 10, 2023 |
| Lanai Community Hospital Skilled Nursing and Intermediate Care Facilit | 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 Facility | 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 Rosa | Home health agency | Operational/Managerial Control (100%) | Jun 15, 1993 |
| KFH Home Health Agency - Oahu | Home health agency | Operational/Managerial Control (100%) | Oct 11, 1993 |
| Kaiser Permanente Hospital Home Health - Sacramento | Home health agency | Operational/Managerial Control | Jul 6, 2015 |
| Kaiser Foundation Hospital Los Angeles HHA | Home health agency | Operational/Managerial Control (100%) | Jan 19, 2015 |
| Kaiser Riverside Home Health Agency (Parent) | Home health agency | Operational/Managerial Control (100%) | Apr 13, 1989 |
| Kaiser Permanente Hospital Tri Central HHA | Home health agency | Operational/Managerial Control (100%) | Jan 1, 1966 |
| Kaiser Foundation Hospital-Home Health Agency | Home health agency | Operational/Managerial Control (100%) | Oct 8, 2007 |
| Kaiser Foundation Hospital Anaheim HHA | Home health agency | Operational/Managerial Control | May 1, 2002 |
| Kaiser Foundation Hospital Home Health - Oakland | Home health agency | Operational/Managerial Control (100%) | Aug 4, 2017 |
| Kaiser Permanente Hospital Home Health Martinez | Home health agency | Operational/Managerial Control (100%) | Jan 2, 1998 |
| Kaiser Permanente Continuing Care Services Home Health | Home health agency | Operational/Managerial Control (100%) | Jan 1, 1978 |
| Kaiser Foundation Hospital HHA Santa Clara | Home health agency | Operational/Managerial Control (100%) | May 1, 1991 |
| Kaiser Foundation Hospital Home Health Vallejo | Home health agency | Operational/Managerial Control | Jan 1, 1998 |
| Kaiser Foundation Hospital Home Health San Francisco | Home health agency | Operational/Managerial Control (100%) | Aug 1, 1966 |
| Kaiser Foundation Hospital San Diego HHA | Home health agency | Operational/Managerial Control (100%) | Jul 1, 1983 |
| Kaiser Permanente Hospital Home Health Novato | Home health agency | Operational/Managerial Control (100%) | Jan 1, 1990 |
| Kaiser Permanente Home Health Agency Mau | Home health agency | Operational/Managerial Control | Jan 1, 1966 |
| Kaiser Foundation Hospital Valleys Continuing Care-HHA | Home health agency | Operational/Managerial Control | Dec 16, 1994 |
| St Josephs Medical Center Home Health | Home health agency | 5% Or Greater Indirect Ownership Interest (20%) | Jun 1, 2016 |
| Kaiser Permanente Hospital Sacramento Hospice | Hospice | Operational/Managerial Control | Feb 14, 1989 |
| Kaiser Permanente Hospital Hospice Program | Hospice | Operational/Managerial Control (100%) | Dec 13, 1996 |
| Kaiser Foundation Hospital Hospice Oakland | Hospice | Operational/Managerial Control (100%) | Jan 1, 1966 |
| Kaiser Permanente Hospital San Diego Hospice | Hospice | Operational/Managerial Control (100%) | Jul 13, 2009 |
| Kaiser Permanente Continuing Care Services Hospice | Hospice | Operational/Managerial Control (100%) | Jan 1, 1978 |
| Kaiser Permanente Hospital Hospice - Martinez | Hospice | Operational/Managerial Control (100%) | Jan 1, 1966 |
| Kaiser Foundation Hospital Hospice-Santa Clara | Hospice | Operational/Managerial Control (100%) | Mar 18, 1998 |
| Kaiser Foundation Hospital Hospice Vallejo | Hospice | Operational/Managerial Control | Jan 1, 1966 |
| Kaiser Foundation Hospital Valleys Continuing Care-Hospice | Hospice | Operational/Managerial Control | Jan 1, 1966 |
| Kaiser Permanente Hospital San Francisco Hospice | Hospice | Operational/Managerial Control (100%) | Sep 1, 1990 |
| Kaiser Foundation Hospital Hospice Hayward | Hospice | Operational/Managerial Control (100%) | Feb 19, 1989 |
| Kaiser Foundation Hospital Los Angeles - Hospice | Hospice | Operational/Managerial Control | Feb 2, 1987 |
| Kaiser Permanente Hospital Fontana Hospice | Hospice | Operational/Managerial Control | Oct 8, 2007 |
| Kaiser Permanente Hospital Riverside Hospice | Hospice | Operational/Managerial Control | Jan 1, 1966 |
| Kaiser Orange County Hospice | 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.
-
dba Kaiser Foundation Hospital San Diego
- General Acute Care Hospital
- San Diego, CA
- NPI 1013062769
Kaiser Foundation Hospitals
-
dba Kaiser Foundation Hospital Hospice Program
- Community Based Hospice Care Agency
- West Covina, CA
- NPI 1053466953
Kaiser Foundation Hospitals
-
dba Kaiser Foundation Hospital Inland Empire Hospice
- Community Based Hospice Care Agency
- Fontana, CA
- NPI 1053466961
Kaiser Foundation Hospitals
-
dba Kaiser Foundation Hospital Hospice - Martinez
- Community Based Hospice Care Agency
- Martinez, CA
- NPI 1053487793
Kaiser Foundation Hospitals
-
dba Kaiser Foundation Hospital Mental Health Ctr DP AHP
- Psychiatric Hospital Unit
- Los Angeles, CA
- NPI 1063567956
Kaiser Foundation Hospitals
-
dba Kaiser Foundation Hospital San Jose
- General Acute Care Hospital
- San Jose, CA
- NPI 1063582989
Kaiser Foundation Hospitals
-
dba Kaiser Foundation Hospital - Roseville
- General Acute Care Hospital
- Roseville, CA
- NPI 1073811378
Kaiser Foundation Hospitals
-
dba Kaiser Foundation Hospital Fresno
- General Acute Care Hospital
- Fresno, CA
- NPI 1083784672
Kaiser Foundation Hospitals
-
dba Kaiser Foundation Hospital Home Health Santa Rosa
- Home Health Agency
- Santa Rosa, CA
- NPI 1104996933
Kaiser Foundation Hospitals
-
dba Kaiser Foundation Hospital Los Angeles HHA
- Home Health Agency
- Pasadena, CA
- NPI 1124173059
Kaiser Foundation Hospitals
-
dba Kaiser Foundation Hospital West Los Angeles
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1134274897
Kaiser Foundation Hospitals
-
dba Kaiser Foundation Hospital San Francisco
- General Acute Care Hospital
- San Francisco, CA
- NPI 1134299522
Kaiser Foundation Hospitals
Practitioners & affiliated clinicians
Affiliated clinicians 251
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Student in an Organized Health Care Education/Training Program
- Sacramento, CA
- NPI 1346751096
Hospital
-
- Hospitalist Physician
- Santa Rosa, CA
- NPI 1033110044
-
- Hospitalist Physician
- Walnut Creek, CA
- NPI 1952728099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1618876800000",
"number": "1639244262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 S MAIN ST",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945965318",
"telephone_number": "925-295-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 S MAIN ST",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945965318",
"telephone_number": "925-295-4000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAISER FOUNDATION HOSPITALS",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-21",
"last_updated": "2021-04-20",
"certification_date": "2021-04-20",
"status": "A",
"authorized_official_last_name": "MCKEOWN",
"authorized_official_first_name": "COLLEEN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "SENIOR VICE PRESIDENT, AREA MANAGER",
"authorized_official_telephone_number": "925-295-5888",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "CA",
"license": "140000290",
"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": "1425 S Main St",
"city": "Walnut Creek",
"state": "CA",
"country_code": "US",
"postal_code": "945965318",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Kaiser Foundation Hospital Walnut Creek",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Kaiser Foundation Hospital Walnut Creek",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Walnut Creek, CA
- Kaiser Foundation Health Plan Inc (Kaiser Permanente Pharmacy #514)
- Kaiser Foundation Health Plan Inc (Kaiser Health Plan Yosemite Phy 502)
- Kaiser Foundation Health Plan Inc (Kaiser Health Plan Mob 1 Phy 511)
- Kaiser Foundation Health Plan Inc (Kaiser Health Plan Pediatric Phy 513)
- Kaiser Foundation Hospitals (Kaiser Permanente Pharmacy No 515)
- Kaiser Foundation Hospitals (Kaiser FDN HSP Inp Phy 51a)
- Kaiser Medical Offices
- Kaiser Permanente
- Kaiser Permanente
- Kaiser Permanente
Sources for this page
- 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.