Kaiser Foundation Hospitals

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

020000349 Issued in CA

Legal business name

KAISER FOUNDATION HOSPITALS

Doing business as

Kaiser Foundation Hospital Home Health Agency Oakland

Practice address

4501 Broadway Blvd
Oakland, CA 94611-4615

Phone

(510) 752-6295

Fax

(510) 752-1604

NPI assigned

Oct 25, 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

Mr. Mark S. Fratzke

Title

Senior Vice President

Phone

(510) 752-2972

Specialties & licenses 1

Addresses

Other names 1

• Kaiser Foundation Hospital Home Health Agency Oakland 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 1952485690. Details of each certification follow.

• CCN 557068 Home health agency · Active · Details

Home health agency certification: CCN 557068

Legal name

KAISER FOUNDATION HOSPITALS

Doing business as

KAISER FOUNDATION HOSPITAL HOME HEALTH - OAKLAND

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 1, 1990

Last certification

May 25, 2018

Ownership / control type

Non-Profit

Organization structure

CorporationNon-profit

Incorporated

Feb 19, 1948 in CA

Enrollment address

4501 Broadway
Oakland, CA 94611-4615
HHA Branch

Listed as

Kaiser Foundation Hospital Home Health - OaklandCCN 557068 · All quality measures

Overall star rating

3 of 5

Ownership

Non-Profit

Certified

Jan 1, 1990

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Daniel Gussin185 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 17

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 Ambulatory Surgery Center, Antelope Valley

  • Ambulatory Surgical Clinic/Center
  • Lancaster, CA
  • NPI 1851169965
  NPD tax ID
• Kaiser Foundation Hospitals

  • Institutional Pharmacy
  • Irwindale, CA
  • NPI 1871055483
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Found Hospital Phrmcy #67A / 67B

  • Institutional Pharmacy
  • Vacaville, CA
  • NPI 1871727891
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser FDN HSP Out HSP Phy 111

  • Community/Retail Pharmacy
  • Oakland, CA
  • NPI 1881742765
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital - Tri Central Home Health Agency

  • Home Health Agency
  • West Covina, CA
  • NPI 1912052838
  NPD tax ID
• Kaiser Foundation Hospitals

  • Institutional Pharmacy
  • Harbor City, CA
  • NPI 1912055666
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Hospital Morse 1St Floor Pharmacy 616

  • Community/Retail Pharmacy
  • Sacramento, CA
  • NPI 1912055724
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital Riverside ESRD

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Riverside, CA
  • NPI 1922153576
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital Anaheim ESRD

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Anaheim, CA
  • NPI 1922153865
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Hospital Main Pharmacy 391

  • Community/Retail Pharmacy
  • San Rafael, CA
  • NPI 1932266293
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital - Anaheim Hospice

  • Community Based Hospice Care Agency
  • Tustin, CA
  • NPI 1962724856
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser FDN HSP French Out Phy 321

  • Community/Retail Pharmacy
  • San Francisco, CA
  • NPI 1972651750
  NPD tax ID

Locations

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.

• Julie Sandoval-Perry, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Oakland, CA
  • NPI 1225180029

  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

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bryan Christopher Finch, PT

  • Physical Therapist
  • Oakland, CA
  • NPI 1306300256
  NPD (past)
• Sylvia Gulen Jones, OTR/L

  • Physical Rehabilitation Occupational Therapist
  • Oakland, CA
  • NPI 1861869877
  NPD (past)
• Christina Michelle Mellott, MSPT

  • Physical Therapist
  • Oakland, CA
  • NPI 1609721505
  NPD (past)

Affiliated clinicians 1

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

• Paul Mead, M.D.

  • Orthopaedic Surgery Physician
  • Oakland, CA
  • NPI 1174954192

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1952485690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 BROADWAY BLVD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946114615",
            "telephone_number": "510-752-6295",
            "fax_number": "510-752-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 BROADWAY BLVD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946114615",
            "telephone_number": "510-752-6295",
            "fax_number": "510-752-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER FOUNDATION HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "FRATZKE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "510-752-2972",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "020000349",
            "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 Broadway Blvd",
            "city": "Oakland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "946114615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kaiser Foundation Hospital Home Health Agency Oakland",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kaiser Foundation Hospital Home Health Agency Oakland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaiser Foundation Hospitals (Kaiser FDN HSP Inp Phy 11a)
• Kaiser Foundation Hospitals (Kaiser Foundation Hospital Hospice Oakland)
• Kaiser Foundation Hospitals (Kaiser Foundation Hospital Oakland-Richmond)
• Kaiser Foundation Hospitals (Kaiser Foundation Hospital Pharmacy #10A)
• Kaiser Foundation Hospitals (Kaiser FDN HSP Out HSP Phy 111)
• Kaiser Permanente
• Kaiser Permanente
• Kaiser Permanente
• Kaiser Permanente
• Kaiser Permanente

• Home Health Agency in Oakland, CA
• Providers in Oakland, 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.