KAISER FOUNDATION HOSPITALS (NPI# 1134612468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134612468 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HOSPITALS |
| Other Organization Name | KAISER FOUNDATION HOSPITAL - SANTA CLARA ESRD (SKYPORT) |
| Practice Address |
1721 Technology Dr Ste 245 San Jose CA 95110-1305 |
| Practice Telephone | 4084364300 |
| Practice Fax Number | 4084364310 |
| Mailing Telephone | 4084364300 |
| Mailing Fax Number | 4084364310 |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2018-06-12 |
| Authorized Official Name | ALFRED AGHAJANI (FINANCE SUPERVISOR) |
| Authorized Official Telephone | 6264056347 |
| Is Organization Subpart | Y |
| Parent Organization Name | KAISER FOUNDATION HOSPITALS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
070000661 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Kaiser Foundation Hospital - Santa Clara ESRD (Skyport) | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609496215 | Kaiser Foundation Hospitals | Pharmacy | 274 International Cir Fl 1 Rm 104, San Jose, CA 95119 | 2020-04-23 |
| 1740822766 | Kaiser Foundation Hospitals | Pharmacy | 18600 S Figueroa St Fl-1, Rm S1085a, Gardena, CA 90248-4505 | 2019-10-10 |
| 1770045395 | Kaiser Foundation Hospitals | Pharmacy | 3100 Dublin Blvd Fl 2, Rm 2353, Dublin, CA 94568-4363 | 2019-04-02 |
| 1619432598 | Kaiser Foundation Hospitals | Clinic/Center | 27200 Iris Avenue Mob 2, Moreno Valley, CA 92555-4803 | 2019-02-05 |
| 1265888630 | Kaiser Foundation Hospitals | Pharmacy | 9521 Dalen St Rm R, Downey, CA 90242-4847 | 2016-05-04 |
| 1891048807 | Kaiser Foundation Hospitals | General Acute Care Hospital | 2875 Nw Stucki Ave., Hillsboro, OR 97124-5806 | 2012-10-16 |
| 1689940991 | Kaiser Foundation Hospitals | Pharmacy | 2295 S Vineyard Ave Bldg H, Ontario, CA 91761-7925 | 2012-03-30 |
| 1497061089 | Kaiser Foundation Hospitals | Pharmacy | 9400 Rosecrans Ave Fl 2, Bellflower, CA 90706-2246 | 2010-08-20 |
| 1962724856 | Kaiser Foundation Hospitals | Hospice Care, Community Based | 17542 East 17th Street, Suite 300, Tustin, CA 92780-1960 | 2010-02-19 |
| 1053548230 | Kaiser Foundation Hospitals | Pharmacy | 3975 Old Redwood Hwy Fl 2, Santa Rosa, CA 95403-1719 | 2009-06-16 |
| 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 |
| Connecticut Business Registrations | KAISER FOUNDATION HOSPITALS, A CALIFORNIA CORPORATION | One Kaiser Plaza, Oakland, CA 94612 |
| Street Address |
1721 TECHNOLOGY DR STE 245 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95110-1305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356876064 | Clarissa Sherrill Chan | Physician Assistant | 685 Coleman Ave Ste 20, San Jose, CA 95110 | 2017-05-01 |
| 1366895666 | Lifemoves - Autumn Satellite Clinic | Case Management | 263 N Autumn St, San Jose, CA 95110 | 2016-07-21 |
| 1487067278 | Catholic Charities of Scc | Community/Behavioral Health | 921 S 1st St, San Jose, CA 95110 | 2014-06-09 |
| 1871855916 | Act for Mental Health, Inc | Psychologist | 441 Park Avenue, San Jose, CA 95110 | 2012-06-14 |
| 1730451238 | Jackson Huang | Nurse Practitioner | 685 Coleman Ave, San Jose, CA 95110 | 2012-01-31 |
| 1104000405 | Kaitlyn Brownell | Case Manager/Care Coordinator | 150-a S. Autumn St., San Jose, CA 95110 | 2007-12-21 |
| 1760685218 | Sharon Iwen Wang | Psychologist | 2033 Gateway Pl Fl 5, San Jose, CA 95110 | 2007-06-11 |
| 1528192036 | Wanda Broadie Alexander | Social Worker | 441 Park Ave, San Jose, CA 95110 | 2007-03-15 |
| 1750442208 | Mario Ricardo Ponce | Counselor | 70 West Hedding Street, County of Santa Clara, San Jose, CA 95110 | 2006-12-12 |
| 1467426882 | Lannie S. Zarate-reyes D.d.s., Inc. | Dentist | 579-10 Coleman Avenue, San Jose, CA 95110 | 2006-02-14 |
| Find all providers in zip 95110 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992204481 | Satellite Dialysis of White Road LLC | Clinic/Center | 3251 S White Rd Ste 10, San Jose, CA 95148-4056 | 2018-02-09 |
| 1427572908 | Toulouse Dialysis LLC | Clinic/Center | 3501 E Capitol Expy, San Jose, CA 95122-1024 | 2017-07-27 |
| 1306299391 | Satellite Healthcare Inc | Clinic/Center | 1450 Kooser Road, San Jose, CA 95118 | 2016-07-14 |
| 1114347473 | Satellite Healthcare Inc | Clinic/Center | 4360 Stevens Creek Blvd, Suite A, San Jose, CA 95129-1103 | 2014-04-24 |
| 1972927960 | Satellite Healthcare San Jose LLC | Clinic/Center | 888 S Bascom Ave, San Jose, CA 95128-2605 | 2014-02-11 |
| 1457797474 | Clover Dialysis LLC | Clinic/Center | 275 Di Salvo Ave, San Jose, CA 95128-1628 | 2013-05-16 |
| 1154668184 | Total Renal Care Inc | Clinic/Center | 1290 Tully Rd, Ste 80, San Jose, CA 95122-3069 | 2013-01-10 |
| 1104187202 | Skagit Dialysis LLC | Clinic/Center | 725 Ridder Park Dr, Ste 10, San Jose, CA 95131-2431 | 2012-06-05 |
| 1386882934 | Total Renal Care Inc | Clinic/Center | 3162 S White Rd, Ste 100, San Jose, CA 95148-4019 | 2009-02-04 |
| 1578724761 | Satellite Healthcare Inc | Clinic/Center | 7019 Realm Dr, San Jose, CA 95119-1321 | 2008-06-19 |
| Find all providers in SAN JOSE | ||||
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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.