Kaiser Foundation Hospitals

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

240000833 Issued in CA

Legal business name

KAISER FOUNDATION HOSPITALS

Doing business as

Kaiser Foundation Hospital Home Health Agency

Practice address

17284 Slover Ave
Fontana, CA 92337-7584

Phone

(909) 609-3800

Fax

(909) 609-3884

NPI assigned

Jan 23, 2007

Last updated

May 5, 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

Gregory K Christian

Title

Executive Director

Phone

(909) 427-7701

Specialties & licenses 1

Addresses

Other names 1

• Kaiser Foundation Hospital Home Health Agency 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 1710032735. Details of each certification follow.

• CCN 058068 Home health agency · Active · Details

Home health agency certification: CCN 058068

Legal name

KAISER FOUNDATION HOSPITALS

Doing business as

KAISER FOUNDATION HOSPITAL-HOME HEALTH AGENCY

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 12, 2001

Last certification

Mar 13, 2015

Ownership / control type

Non-Profit

Organization structure

CorporationNon-profit

Incorporated

Feb 19, 1948 in CA

Enrollment address

17284 Slover Ave
Ste 105
Fontana, CA 92337-7584

Listed as

Kaiser Foundation Hospital Home Health AgencyCCN 058068 · All quality measures

Overall star rating

2.5 of 5

Ownership

Non-Profit

Certified

Sep 12, 2001

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Occupational therapy

Tax ID family

Kaiser Foundation185 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 Woodland Hills ESRD

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Woodland Hills, CA
  • NPI 1639224538
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital Walnut Creek

  • General Acute Care Hospital
  • Walnut Creek, CA
  • NPI 1639244262
  NPD tax ID
• Kaiser Foundation Hospitals

  • Community/Retail Pharmacy
  • Fontana, CA
  • NPI 1649328451
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser FDN HSP Inp Ground FLR Phy 61a 618

  • Institutional Pharmacy
  • Sacramento, CA
  • NPI 1649328477
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital-San Leandro

  • General Acute Care Hospital
  • San Leandro, CA
  • NPI 1649605403
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser FDN HSP Inp Phy 54a

  • Institutional Pharmacy
  • Martinez, CA
  • NPI 1659438919
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser FDN HSP New & Refill Phy 141

  • Community/Retail Pharmacy
  • Hayward, CA
  • NPI 1669520441
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital Sacramento Hospice

  • Community Based Hospice Care Agency
  • Sacramento, CA
  • NPI 1679651327
  NPD tax ID
• Kaiser Foundation Hospitals

  • Institutional Pharmacy
  • Irvine, CA
  • NPI 1679740088
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital Pharmacy #92A

  • Institutional Pharmacy
  • San Leandro, CA
  • NPI 1679993190
  NPD tax ID
• Kaiser Foundation Hospitals

  • Institutional Pharmacy
  • Ontario, CA
  • NPI 1689940991
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital Hospice Vallejo

  • Community Based Hospice Care Agency
  • Vallejo, CA
  • NPI 1700950532
  NPD tax ID

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.

Owners & managing parties with NPI records 2

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

• Timothy D. Jenkins, MD

  • Gastroenterology Physician
  • Fontana, CA
  • NPI 1205903119

  Contracted Managing Employee

  CMS ownership
• 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

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1710032735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17284 SLOVER AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923377584",
            "telephone_number": "909-609-3800",
            "fax_number": "909-609-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17284 SLOVER AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923377584",
            "telephone_number": "909-609-3800",
            "fax_number": "909-609-3884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER FOUNDATION HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "CHRISTIAN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "909-427-7701"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "240000833",
            "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": "17284 Slover Ave",
            "city": "Fontana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923377584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kaiser Foundation Hospital Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kaiser Foundation Hospital Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaiser Foundation Hospitals (Kaiser Foundation Hospital Chem Dependency Recovery)
• Kaiser Foundation Hospitals (Kaiser Foundation Hospital - Fontana)
• Kaiser Foundation Hospitals (Kaiser Foundation Hospital Fontana ESRD)
• Kaiser Foundation Hospitals
• Kaiser Foundation Hospitals
• Kaiser Permanente
• Kaiser Permanente
• Shant Kalanjian, MD
• Sharon L. Kalina, MD
• Adrine Kaloshian, RD

• Home Health Agency in Fontana, CA
• Providers in Fontana, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.