KAISER FOUNDATION HOSPITAL (NPI# 1114252111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114252111 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HOSPITAL |
| Practice Address |
4601 Dale Rd Icu H2312 Modesto CA 95356-9718 |
| Practice Telephone | 2097357615 |
| Practice Fax Number | 2097357603 |
| Mailing Telephone | 2097357615 |
| Mailing Fax Number | 2097357603 |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2009-10-08 |
| Authorized Official Name | MRS. NANCY PILKINGTON (DIRECTOR OF EDUCATION) |
| Authorized Official Telephone | 2097355620 |
| Authorized Official Credential | NP |
| Is Organization Subpart | Y |
| Parent Organization Name | KAISER PERMANENTE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 163WC0200X | CA | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699843722 | Kaiser Foundation Hospital | Health Maintenance Organization | 910 Marshall St, Redwood City, CA 94063-2033 | 2006-11-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | KAISER FOUNDATION HOSPITALS | One Kaiser Plaza, Oakland, CA 94612 |
| New York State Corporations | KAISER FOUNDATION HOSPITALS | 80 State Street, Albany, New York 12207 |
| Oregon Corporations, Companies and Business Names | KAISER FOUNDATION HOSPITALS | One Kaiser Plaza, Oakland, CA 94612 |
| Washington State Corporations | KAISER FOUNDATION HOSPITALS | One Kaiser Plaza, Oakland, CA 94612 |
| North Carolina Corporations | Kaiser Foundation Hospitals | 2626 Glenwood Avenue, Suite 550, Raleigh, NC 27608 |
| Massachusetts Corporations | KAISER FOUNDATION HOSPITALS | One Kaiser Plaza, Oakland, CA 94612 |
| Virginia Business Entities | KAISER FOUNDATION HOSPITALS | 1 Kaiser Plz, Oakland, California 94612-3610 |
| Connecticut Business Registrations | KAISER FOUNDATION HOSPITALS, A CALIFORNIA CORPORATION | One Kaiser Plaza, Oakland, CA 94612 |
| Street Address |
4601 DALE RD ICU H2312 |
| City | MODESTO |
| State | CA |
| Zip Code | 95356-9718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912998311 | Stephen Matthew Willey | Physical Therapist | 4601 Dale Rd, Modesto, CA 95356 | 2005-11-03 |
| 1760098263 | Paola Ramirez | Behavior Technician | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-09-20 |
| 1538772678 | Roy Choi | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-08-28 |
| 1730797499 | Donna Cruz | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-07-20 |
| 1538777487 | Kyle Wesley Hopson | Physical Therapist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-07-16 |
| 1376176313 | Su Jin Yeo | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-02-18 |
| 1972135580 | Tran Huyen Smernes | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-02-11 |
| 1740827534 | Evelyn Kwong | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2019-11-29 |
| 1467000463 | Oanh Hoang Nguyen Phan | Nurse Practitioner | 4601 Dale Rd, Modesto, CA 95356-9718 | 2019-09-03 |
| 1598311227 | Janine Grace Lastimosa Tennant | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2019-08-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649809021 | Amelia E Delgadillo | Licensed Vocational Nurse | 501 Triangle Rd, Modesto, CA 95356 | 2020-04-07 |
| 1689220279 | Meagan Veneman | Physical Medicine & Rehabilitation | 125 Hogue Rd, Modesto, CA 95356 | 2019-08-10 |
| 1497131213 | Hermes Guardian Transport | Non-emergency Medical Transport (VAN) | 4221 Erin Way, Modesto, CA 95356 | 2015-08-04 |
| 1811373640 | Melissa Ruiz | Marriage & Family Therapist | 5815 Stoddard Rd Suite 600, Modesto, CA 95356 | 2015-08-04 |
| 1922242866 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 500 Glass Ln Ste H, Modesto, CA 95356 | 2009-04-22 |
| 1659541647 | Ashley Allison Streeter | Dentist | 556 Lyell Dr, Modesto, CA 95356 | 2008-03-05 |
| 1265636013 | Margaret Kathleen Grisell | Orthopaedic Surgery | 4601 Dale Ave, Kaiser Modesto Medical Center, Orthopedic Surgery, Modesto, CA 95356 | 2007-06-14 |
| 1841412111 | Bobby Gene Boswell | Specialist/Technologist | 3908 Vintage Cove, Modesto, CA 95356 | 2007-05-03 |
| 1598892861 | Merritt Radiological Medical Group Inc | Radiology | 526 Charity Way, Modesto, CA 95356 | 2007-02-27 |
| 1396871091 | Michael Steven Beck | Social Worker | 4640 Spyres Way, Building B, Suite 7, Modesto, CA 95356 | 2007-02-26 |
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| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164768982 | O & D Surgical and Medical Solutions Inc. | General Acute Care Hospital | 140 East Grager Avenue, Suite B, Modesto, CA 95350-4347 | 2012-12-26 |
| 1891046892 | Doctors Medical Center | General Acute Care Hospital | 3032 Montgomery Ln, Modesto, CA 95355-7997 | 2012-10-01 |
| 1962710954 | Tammy Elkins, Phd | General Acute Care Hospital | 802 14th St Ste G, Modesto, CA 95354-1029 | 2010-09-23 |
| 1386775021 | Jacqueline Parker | General Acute Care Hospital | 405 Ramsey Dr, Modesto, CA 95356-1778 | 2007-03-07 |
| 1245368653 | A.whitebread Rnfa | General Acute Care Hospital | 1702 Sandalwood Dr, Modesto, CA 95350-3819 | 2007-02-28 |
| 1760532758 | Employee Assistance Program | General Acute Care Hospital | 1316 Celeste Dr, 220, Modesto, CA 95355-2434 | 2007-01-11 |
| 1437121886 | Stanislaus Surgical Hospital LLC | General Acute Care Hospital | 1421 Oakdale Rd, Modesto, CA 95355-3359 | 2006-02-01 |
| 1699129601 | Sutter Valley Hospitals | General Acute Care Hospital | 1700 Coffee Rd, Modesto, CA 95355-2803 | 2016-04-15 |
| 1346621349 | Sutter Health | General Acute Care Hospital | 1700 Coffee Rd, Modesto, CA 95355-2803 | 2015-06-16 |
| 1659712586 | Hospitalists of Modesto Medical Group | General Acute Care Hospital | 1441 Florida Ave, Hospitalists of Modesto Medical Group, Modesto, CA 95350-4404 | 2013-07-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.