Kaiser Foundation Hospitals

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

550000614 Issued in CA

Legal business name

KAISER FOUNDATION HOSPITALS

Doing business as

Kaiser Foundation Hospital Antioch

Practice address

4501 Sand Creek Road
Antioch, CA 94531

Phone

(925) 813-6500

NPI assigned

Mar 22, 2007

Last updated

Apr 14, 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

Ms. Colleen M McKeown

Title

Senior Vice President, Area Manager

Phone

(925) 295-5888

Specialties & licenses 1

Addresses

Other names 1

• Kaiser Foundation Hospital Antioch 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 1851417547. Details of each certification follow.

• CCN 050760 Hospital · Active · Details

Hospital certification: CCN 050760

Legal name

KAISER FOUNDATION HOSPITALS

Doing business as

KAISER FOUNDATION HOSPITAL - ANTIOCH

Certification status

Active

Provider type (POS)

Hospital – Short-term

Participating since

Jan 18, 2008

Last certification

May 6, 2011

Beds

150

Ownership / control type

Private (not for profit)

Organization structure

CorporationNon-profit

Incorporated

Feb 19, 1948 in CA

Enrollment address

4501 Sand Creek Rd
Antioch, CA 94531-8687
Other Hospital Practice Location

Hospital subgroups

Acute care

Listed as

Kaiser Foundation Hospital - AntiochCCN 050760 · All quality measures

Overall star rating

1 of 5

Type

Acute Care Hospitals

Ownership

Voluntary non-profit - Private

Medicare certification status

ActiveFrom the Provider of Services file

Emergency services

Yes

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.

Owners & managing parties with NPI records 2

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

• Jeffrey Ghassemi, M.D., M.P.H.

  • Student in an Organized Health Care Education/Training Program
  • San Francisco, CA
  • NPI 1972746253

  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 331

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

• Eric Aaserude

  • Emergency Medicine Physician
  • Walnut Creek, CA
  • NPI 1811491194

  Hospital

  Care Compare affiliation
• Triveni Abburi, M.D.

  • Internal Medicine Physician
  • Antioch, CA
  • NPI 1710267497

  Hospital

  Care Compare affiliation
• Peter W Ackerman, MD

  • Emergency Medicine Physician
  • Walnut Creek, CA
  • NPI 1427435023

  Hospital

  Care Compare affiliation
• Aaron Mark Sanchez Acosta, DO

  • Emergency Medicine Physician
  • Walnut Creek, CA
  • NPI 1538789987

  Hospital

  Care Compare affiliation
• Michael James Ajuria, M.D.

  • Nephrology Physician
  • Berkeley, CA
  • NPI 1922425057

  Hospital

  Care Compare affiliation
• Asim Alam, MD/PHD

  • Pulmonary Disease Physician
  • San Francisco, CA
  • NPI 1467955286

  Hospital

  Care Compare affiliation
• Abnet Amsalework Alemu, MD

  • Surgical Critical Care Physician
  • Antioch, CA
  • NPI 1316123383

  Hospital

  Care Compare affiliation
• Claudia E. Alvarado, M.D.

  • Internal Medicine Physician
  • Bakersfield, CA
  • NPI 1083859045

  Hospital

  Care Compare affiliation
• Ryan Matthew Alward, MD

  • Student in an Organized Health Care Education/Training Program
  • Sacramento, CA
  • NPI 1346751096

  Hospital

  Care Compare affiliation
• Naissem L Andemel, MD, MPH

  • Internal Medicine Physician
  • Antioch, CA
  • NPI 1295294676

  Hospital

  Care Compare affiliation
• Sunitha R. Annamaneni, MD

  • Hospitalist Physician
  • Walnut Creek, CA
  • NPI 1992879209
  Care Compare affiliation
• Amir Hossein Arsanjani, MD

  • Urology Physician
  • Walnut Creek, CA
  • NPI 1154486793

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1851417547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 SAND CREEK ROAD",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "94531",
            "telephone_number": "925-813-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 SAND CREEK ROAD",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "94531",
            "telephone_number": "925-813-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER FOUNDATION HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "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": "550000614",
            "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": "4501 Sand Creek Road",
            "city": "Antioch",
            "state": "CA",
            "country_code": "US",
            "postal_code": "94531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kaiser Foundation Hospital Antioch",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kaiser Foundation Hospital Antioch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaiser Foundation Health Plan Inc (Kaiser Permanente Pharmacy #571)
• Kaiser Foundation Health Plan Inc (Kaiser Health Plan Main Phy 551)
• Kaiser Foundation Health Plan Inc (Kaiser Permanente Pharmacy #572)
• Kaiser Foundation Health Plan Inc (Kaiser Oncology Pharmacy #573)
• Kaiser Foundation Hospitals (Kaiser Found Hospital Phrmcy #57a)
• Kaiser Permanente
• Nadieh Kakar, MA
• Steven Kavi Kala Jr.
• Karolyn Kalinowski Palmer, M.F.T.
• Matthew Kamerzell, D.C.

• General Acute Care Hospital in Antioch, CA
• Providers in Antioch, CA by specialty
• General Acute Care Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.