Kaiser Foundation Hospitals

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

250000333 Issued in CA

Legal business name

KAISER FOUNDATION HOSPITALS

Doing business as

Kaiser Foundation Hospital - Riverside Hospice

Practice address

1830 California Ave
Corona, CA 92881-3378

Phone

(951) 270-1250

NPI assigned

Mar 23, 2009

Last updated

Oct 20, 2025By 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

Angel Luis Vargas

Title

VP, Care at Home

Phone

(626) 773-0355

Specialties & licenses 1

Addresses

Other names 1

• Kaiser Foundation Hospital - Riverside Hospice 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 1720229602. Details of each certification follow.

• CCN 551743 Hospice · Active · Details

Hospice certification: CCN 551743

Legal name

KAISER FOUNDATION HOSPITALS

Doing business as

KAISER PERMANENTE HOSPITAL RIVERSIDE HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Nov 12, 2012

Last certification

Jun 25, 2018

Ownership / control type

Other

Organization structure

CorporationNon-profit

Incorporated

Feb 19, 1948 in CA

Enrollment address

1830 California Ave
Corona, CA 92881-3378

Listed as

Kaiser Foundation Hospital - Riverside HospiceCCN 551743 · All quality measures

Ownership

Other

Certified

Nov 12, 2012

Medicare certification status

ActiveFrom the Provider of Services file

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

  • 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
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital Home Health Agency

  • Home Health Agency
  • Fontana, CA
  • NPI 1710032735
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital Vacaville

  • General Acute Care Hospital
  • Vacaville, CA
  • NPI 1710116116
  NPD tax ID

All disclosed owners & managing parties 22

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.

• Sundeep K. Randhawa, M.D.

  • General Practice Physician
  • Calabasas, CA
  • NPI 1972589554

  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": "1237766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1720229602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 CALIFORNIA AVE",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813378",
            "telephone_number": "951-270-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 CALIFORNIA AVE",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813378",
            "telephone_number": "951-270-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER FOUNDATION HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-23",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "VP, CARE AT HOME",
        "authorized_official_telephone_number": "626-773-0355"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "250000333",
            "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": "10917 Magnolia Ave",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925053044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kaiser Foundation Hospital - Riverside Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kaiser Foundation Hospital - Riverside Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alia Meagan Kabbara, DMD
• Kadour and Hattar Inc (Bee Well Pharmacy)
• Ibtihal M Kadour, RPH
• Kaiser Foundation Health Plan Inc
• Kaiser Foundation Hospitals (Kaiser Riverside Home Health Agency (Parent))
• Kaiser Permanente
• John Emil Kaiser, M.D.
• Ria Kale
• James George Kalkanis, MD
• Tobin Visi Kallippurathu, PMHNP

• Community Based Hospice Care Agency in Corona, CA
• Providers in Corona, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.