Kaiser Foundation Hospitals

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

070000404 Issued in CA

Legal business name

KAISER FOUNDATION HOSPITALS

Doing business as

Kaiser Foundation Hospital Hospice-Santa Clara

Practice address

3900 Freedom Cir
Suite 201
Santa Clara, CA 95054-1222

Phone

(408) 235-4000

Fax

(408) 235-4055

NPI assigned

Nov 17, 2006

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

Christopher L Boyd

Title

Senior Vice President, Area Manager

Phone

(408) 851-4120

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kaiser Foundation Hospital Hospice-Santa Clara 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 1841364247. Details of each certification follow.

• CCN 051589 Hospice · Active · Details

Hospice certification: CCN 051589

Legal name

KAISER FOUNDATION HOSPITALS

Doing business as

KAISER FOUNDATION HOSPITAL HOSPICE-SANTA CLARA

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 22, 1992

Last certification

Feb 18, 2022

Ownership / control type

Non-Profit - Private

Organization structure

CorporationNon-profit

Incorporated

Feb 19, 1948 in CA

Enrollment address

3900 Freedom Cir
Ste 201
Santa Clara, CA 95054-1222

Listed as

Kaiser Foundation Hospital Hospice-Santa ClaraCCN 051589 · All quality measures

Ownership

Non-Profit

Certified

Jun 22, 1992

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

  dba Kaiser Foundationn Hospital Inp/Out Hospital Pharmacy 58a 58

  • Institutional Pharmacy
  • Santa Rosa, CA
  • NPI 1780732503
  NPD tax ID
• Kaiser Foundation Hospitals

  • Institutional Pharmacy
  • San Diego, CA
  • NPI 1780732511
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Hospital Pharmacy #59a

  • Institutional Pharmacy
  • Roseville, CA
  • NPI 1790832012
  NPD tax ID
• Kaiser Foundation Hospitals

  • Compounding Pharmacy
  • Ontario, CA
  • NPI 1790832020
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital Home Health - Sacramento

  • Home Health Agency
  • Sacramento, CA
  • NPI 1790869568
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital West LA ESRD

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Los Angeles, CA
  • NPI 1801941703
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital Hospice-San Francisco

  • Community Based Hospice Care Agency
  • San Francisco, CA
  • NPI 1801961511
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser FDN HSP Inp Phy 51a

  • Institutional Pharmacy
  • Walnut Creek, CA
  • NPI 1811054174
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital-Los Angeles

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1821143777
  NPD tax ID
• Kaiser Foundation Hospitals

  • Institutional Pharmacy
  • Panorama City, CA
  • NPI 1821145145
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Permanente Pharmacy 985

  • Community/Retail Pharmacy
  • Downey, CA
  • NPI 1821146572
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Hosp Morse 2ND FL Phy

  • Community/Retail Pharmacy
  • Sacramento, CA
  • NPI 1821146630
  NPD tax ID

Locations

All disclosed owners & managing parties 23

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.

• Jeya Venugopalakrishnan, MD

  • Hospitalist Physician
  • Santa Clara, CA
  • NPI 1912085408

  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

Affiliated clinicians 72

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

• Vasumitha Alamelu, MD

  • Internal Medicine Physician
  • Gilroy, CA
  • NPI 1194801613

  Hospice

  Care Compare affiliation
• Ravnit K. Bhatia, DO

  • Geriatric Medicine (Internal Medicine) Physician
  • Palo Alto, CA
  • NPI 1093208084

  Hospice

  Care Compare affiliation
• Jeffrey Bien, M.D.

  • Hematology & Oncology Physician
  • Santa Clara, CA
  • NPI 1487040911

  Hospice

  Care Compare affiliation
• Ellie Eiei Chan, M.D.

  • Hematology & Oncology Physician
  • Fresno, CA
  • NPI 1578761656

  Hospice

  Care Compare affiliation
• James S Chang, M.D.

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1417068073

  Hospice

  Care Compare affiliation
• Liteh Chang, MD

  • Internal Medicine Physician
  • Mountain View, CA
  • NPI 1255418190

  Hospice

  Care Compare affiliation
• Tony Tai-Lee Chen, M.D.

  • Student in an Organized Health Care Education/Training Program
  • San Jose, CA
  • NPI 1063688372

  Hospice

  Care Compare affiliation
• Jody Chouying Chuang, M.D, PH.D.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1508147083

  Hospice

  Care Compare affiliation
• Sindey K. Chung, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Mountain View, CA
  • NPI 1043397987

  Hospice

  Care Compare affiliation
• Jennifer Cohen, MD

  • Pediatrics Physician
  • San Francisco, CA
  • NPI 1114029105

  Hospice

  Care Compare affiliation
• Daniel M Corey

  • Hematology (Internal Medicine) Physician
  • Oakland, CA
  • NPI 1457518318

  Hospice

  Care Compare affiliation
• Mrinal Dutia, M.D.

  • Hematology & Oncology Physician
  • Sacramento, CA
  • NPI 1275591596

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1841364247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 FREEDOM CIR",
            "address_2": "SUITE 201",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950541222",
            "telephone_number": "408-235-4000",
            "fax_number": "408-235-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 FREEDOM CIR",
            "address_2": "SUITE 201",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950541222",
            "telephone_number": "408-235-4000",
            "fax_number": "408-235-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER FOUNDATION HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT, AREA MANAGER",
        "authorized_official_telephone_number": "408-851-4120"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "070000404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HPC01589F",
            "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": "3900 Freedom Cir",
            "address_2": "Suite 201",
            "city": "Santa Clara",
            "state": "CA",
            "country_code": "US",
            "postal_code": "950541222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kaiser Foundation Hospital Hospice-Santa Clara",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kaiser Foundation Hospital Hospice-Santa Clara",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaiser Foundation Hospitals (Kaiser Foundation Hospital - Santa Clara)
• Kaiser Foundation Hospitals (Kaiser Permanente Psychiatric Health Facility - Santa Clara)
• Kaiser Foundation Hospitals (Kaiser Foundation Hospital HHA Santa Clara)
• Kaiser Foundation Hospitals (Kaiser Found HSP Phy #44B)
• Kaiser Foundation Hospitals (Kaiser Hospital Main Pharmacy)
• Kaiser Permanent
• Kaiser Permanente
• Kaiser Permanente
• Kaiser Permanente Hospital
• Kaiser Permanete Santa Clara

• Community Based Hospice Care Agency in Santa Clara, CA
• Providers in Santa Clara, 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 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.